Martin, Henry Gregg
Martin, Henry Gregg is an sole proprietor health care provider with primary practice located at 330 N Wabash Ave Suite 330, Marion IN 46952-2600. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Martin, Henry Gregg can be contacted via phone (765) 662-6035.Contact Information
Primary practice address
330 N Wabash Ave Suite 330
Marion IN 46952-2600
Phone: (765) 662-6035
Fax: (765) 662-9102
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20010243 | Indiana |
Profile Details
| NPI number | 1750339024 |
|---|---|
| LBN Legal business name | Martin, Henry Gregg |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1750339024 | NPPES |
| Indiana | MEDICAID | 100143810A |
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