Martin, Dominique M
Martin, Dominique M is an individual health care provider with primary practice located at 399 E Main St , Columbus OH 43215-5384. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Martin, Dominique M can be contacted via phone (614) 355-8550.Contact Information
Primary practice address
399 E Main St
Columbus OH 43215-5384
Phone: (614) 355-8550
Fax: (614) 355-8593
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | M.1600007 | Ohio |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | F.1800067 | Ohio |
Profile Details
| NPI number | 1043673015 |
|---|---|
| LBN Legal business name | Martin, Dominique M |
| Credentials | LIMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2016 |
| Last updated | Apr 5th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043673015 | NPPES |
| Ohio | MEDICAID | 1473276 |
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