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:
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Health care specialties

SpecialtyCodeLicense #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 17 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 1396724951 NPPES
Alaska MEDICAID CH0065

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