Martin, Jeffrey Paul
Martin, Jeffrey Paul is an sole proprietor health care provider with primary practice located at 516 South Pleasant Street , Princeton IL 61356-1953. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Martin, Jeffrey Paul can be contacted via phone (815) 875-3661.Contact Information
Primary practice address
516 South Pleasant Street
Princeton IL 61356-1953
Phone: (815) 875-3661
Fax: (815) 875-1925
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 038004206 | Illinois |
Profile Details
| NPI number | 1629166343 |
|---|---|
| LBN Legal business name | Martin, Jeffrey Paul |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Nov 22nd, 2011 - about 14 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 | 1629166343 | NPPES |
| Illinois | Other | 615601 | BLUE CROSS BLUE SHIELD |
| Illinois | MEDICAID | 615601 | BLUE CROSS BLUE SHIELD |
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