Martin, Jessica

Martin, Jessica is an individual health care provider with primary practice located at 2001 Madison Ave , Granite City IL 62040-4618. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Martin, Jessica can be contacted via phone (618) 876-5095.

Contact Information

Primary practice address
2001 Madison Ave Granite City IL 62040-4618
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051294266 Illinois

Profile Details

NPI number 1508141904
LBN Legal business name Martin, Jessica
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2011
Last updated Oct 17th, 2011 - about 13 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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