Martin, Glenn T

Martin, Glenn T is an individual health care provider with primary practice located at 3692 E Sunset Rd , Las Vegas NV 89120-7237. He recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter is his primary health care specialty. Martin, Glenn T can be contacted via phone (702) 735-7668.

Contact Information

Primary practice address
3692 E Sunset Rd Las Vegas NV 89120-7237
Phone: (702) 735-7668
Fax: (702) 735-1411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 262 Nevada
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 262 Nevada

Profile Details

NPI number 1609850890
LBN Legal business name Martin, Glenn T
Credentials AU.D
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Oct 5th, 2015 - about 9 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 1609850890 NPPES
Nevada MEDICAID 1609850890

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