Martin, Judith

Martin, Judith is an individual health care provider with primary practice located at 105 W 8Th Ave Suite 454E, Spokane WA 99204-2302. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Martin, Judith can be contacted via phone (509) 474-3810.

Contact Information

Primary practice address
105 W 8Th Ave Suite 454E Spokane WA 99204-2302
Phone: (509) 474-3810
Fax: (509) 474-3811
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X MD00038721 Washington
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00038721 Washington

Profile Details

NPI number 1104804442
LBN Legal business name Martin, Judith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Sep 29th, 2014 - about 11 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 1104804442 NPPES
Washington MEDICAID 1112051

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