Martin, Jeffery R.
Martin, Jeffery R. is an sole proprietor health care provider with primary practice located at 1010 Sir Francis Drake Blvd Suite 2E, Kentfield CA 94904-1417. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Martin, Jeffery R. can be contacted via phone (415) 461-3175.Contact Information
Primary practice address
1010 Sir Francis Drake Blvd Suite 2E
Kentfield CA 94904-1417
Phone: (415) 461-3175
Fax: (707) 579-1945
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY4872 | California |
Profile Details
| NPI number | 1558400739 |
|---|---|
| LBN Legal business name | Martin, Jeffery R. |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 5th, 2007 |
| 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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