Martin, Dianne C

Martin, Dianne C is an sole proprietor health care provider with primary practice located at 2287 Mowry Ave Ste F , Fremont CA 94538-1622. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Martin, Dianne C can be contacted via phone (510) 248-1585.

Contact Information

Primary practice address
2287 Mowry Ave Ste F Fremont CA 94538-1622
Phone: (510) 248-1585
Fax: (510) 739-1050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X G045774 California
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X G45774 California

Profile Details

NPI number 1720162969
LBN Legal business name Martin, Dianne C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated Jan 29th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720162969 NPPES
California Other G045774 STATE OF CALIFORNIA

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