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

Primary practice address
29 E. Philadelphia Youngstown OH 44507
Phone: (330) 783-1382
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215158217 NPPES
Ohio MEDICAID 2095450

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