Martin, Mary M
Martin, Mary M is an individual health care provider with primary practice located at 5045 Carpenter Creek Dr , Pensacola FL 32503-2521. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Martin, Mary M can be contacted via phone (850) 377-0778.Contact Information
Primary practice address
5045 Carpenter Creek Dr
Pensacola FL 32503-2521
Phone: (850) 377-0778
Fax: (888) 249-2325
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1215957188 |
|---|---|
| LBN Legal business name | Martin, Mary M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Jan 28th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215957188 | NPPES |
| Florida | MEDICAID | 762131100 |
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