Martin, Mary
Martin, Mary is an sole proprietor health care provider with primary practice located at 8310 Baxter Way , Riverside CA 92504-4302. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Martin, Mary can be contacted via phone (951) 689-9366.Contact Information
Primary practice address
8310 Baxter Way
Riverside CA 92504-4302
Phone: (951) 689-9366
Fax: (951) 352-7374
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1659540441 |
|---|---|
| LBN Legal business name | Martin, Mary |
| Credentials | ADCS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 2008 |
| Last updated | Feb 26th, 2008 - 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 | 1659540441 | NPPES |
| California | Other | 33352 | DRUG MEDI-CAL |
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