Martin, Jennifer P.
Martin, Jennifer P. is an individual health care provider with primary practice located at 35 International Dr , Greenville SC 29615-4816. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is her primary health care specialty. Martin, Jennifer P. can be contacted via phone (864) 234-7654.Contact Information
Primary practice address
35 International Dr
Greenville SC 29615-4816
Phone: (864) 234-7654
Fax: (864) 675-1657
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 28804 | South Carolina |
Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | 28804 | South Carolina |
Profile Details
NPI number | 1083642045 |
---|---|
LBN Legal business name | Martin, Jennifer P. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 29th, 2006 |
Last updated | Oct 11th, 2007 - about 18 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 | 1083642045 | NPPES |
South Carolina | MEDICAID | 288049 | |
South Carolina | Other | 8157 |
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