Martin, Jennifer E

Martin, Jennifer E is an individual health care provider with primary practice located at 4201 Saint Antoine St Suite 3R, Detroit MI 48201-2153. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Martin, Jennifer E can be contacted via phone (313) 745-3330.

Contact Information

Primary practice address
4201 Saint Antoine St Suite 3R Detroit MI 48201-2153
Phone: (313) 745-3330
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301076858 Michigan
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301076858 Michigan

Profile Details

NPI number 1992764807
LBN Legal business name Martin, Jennifer E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jun 17th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992764807 NPPES
Michigan MEDICAID 104625332
Michigan MEDICAID 104625641
Michigan MEDICAID 104625350
Michigan Other JM076858

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