Martin, Jennifer A

Martin, Jennifer A is an sole proprietor health care provider with primary practice located at 1295 Westhaven Dr , Vail CO 81657-4395. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is her primary health care specialty. Martin, Jennifer A can be contacted via phone (970) 476-7510.

Contact Information

Primary practice address
1295 Westhaven Dr Vail CO 81657-4395
Phone: (970) 476-7510
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5264 Minnesota
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 0004838 Colorado

Profile Details

NPI number 1023072188
LBN Legal business name Martin, Jennifer A
Credentials DPT, OCS, FAAOMPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2006
Last updated Apr 13th, 2020 - about 5 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 1023072188 NPPES
Minnesota Other 060T1MA BC INDIV PROV ID
Minnesota MEDICAID 076649600 BC INDIV PROV ID
Minnesota Other 6402269 BC INDIV PROV ID

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