Martin, Jessie
Martin, Jessie is an sole proprietor health care provider with primary practice located at 29 E. Philadelphia , Youngstown OH 44507. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Martin, Jessie can be contacted via phone (330) 783-1382.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Licensed Practical Nurse | 164W00000X | PN094251 | Ohio |
Profile Details
NPI number | 1215158217 |
---|---|
LBN Legal business name | Martin, Jessie |
Credentials | Licensed Practical Nurse (LPN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 1st, 2007 |
Last updated | Jul 8th, 2007 - about 17 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 | 1215158217 | NPPES |
Ohio | MEDICAID | 2095450 |
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