Martin, Mari C
Martin, Mari C is an sole proprietor health care provider with primary practice located at 2345 E Mason St , Green Bay WI 54302-3764. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Martin, Mari C can be contacted via phone (920) 469-8890.Contact Information
Primary practice address
2345 E Mason St
Green Bay WI 54302-3764
Phone: (920) 469-8890
Fax: (920) 406-3909
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 1951-125 | Wisconsin |
Profile Details
| NPI number | 1760509855 |
|---|---|
| LBN Legal business name | Martin, Mari C |
| Credentials | MSE |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 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 | 1760509855 | NPPES |
| Wisconsin | MEDICAID | 39699800 |
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