Martin, James D
Martin, James D is an individual health care provider with primary practice located at 400 N Main St , Wasilla AK 99654-7018. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Martin, James D can be contacted via phone (907) 373-2022.Contact Information
Primary practice address
400 N Main St
Wasilla AK 99654-7018
Phone: (907) 373-2022
Fax: (907) 373-2029
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Sports Physician | 111NS0005X | AA187 | Alaska |
Profile Details
NPI number | 1396724951 |
---|---|
LBN Legal business name | Martin, James D |
Credentials | D.C., C.C.S.P. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 12th, 2006 |
Last updated | Jul 8th, 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 | 1396724951 | NPPES |
Alaska | MEDICAID | CH0065 |
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