Martin, Jessie

Martin, Jessie is an sole proprietor health care provider with primary practice located at 1415 Colonial Blvd Ste 1 , Fort Myers FL 33907. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Martin, Jessie can be contacted via phone (239) 202-4517.

Contact Information

Primary practice address
1415 Colonial Blvd Ste 1 Fort Myers FL 33907
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN783 Florida

Profile Details

NPI number 1073547972
LBN Legal business name Martin, Jessie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2006
Last updated Jul 24th, 2018 - about 6 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 1073547972 NPPES
Kansas Other 105600 PERFORMING INDIV. NUMBER

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