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
Phone: (618) 876-5095
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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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