Martin, Howard Jerome

Martin, Howard Jerome is an sole proprietor health care provider with primary practice located at 95 Martin Luther King Jr Dr , Jersey City NJ 07305-3025. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Martin, Howard Jerome can be contacted via phone (201) 685-7395.

Contact Information

Primary practice address
95 Martin Luther King Jr Dr Jersey City NJ 07305-3025
Fax: (201) 332-7003
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 22DI01637700 New Jersey

Profile Details

NPI number 1205810835
LBN Legal business name Martin, Howard Jerome
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2005
Last updated Aug 4th, 2016 - about 8 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 1205810835 NPPES
New Jersey MEDICAID 4596404

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