Martin, Maria Rochelle Carreon

Martin, Maria Rochelle Carreon is an individual health care provider with primary practice located at 9230 Sky Island Dr E , Bonney Lake WA 98391-7385. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Martin, Maria Rochelle Carreon can be contacted via phone (253) 750-6000.

Contact Information

Primary practice address
9230 Sky Island Dr E Bonney Lake WA 98391-7385
Phone: (253) 750-6000
Fax: (253) 750-6100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA08438100 New Jersey
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301091747 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD60120795 Washington

Profile Details

NPI number 1568620227
LBN Legal business name Martin, Maria Rochelle Carreon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 29th, 2008
Last updated Apr 15th, 2021 - about 3 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 1568620227 NPPES
Washington MEDICAID 2005491

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