Martin, Michele Dawn

Martin, Michele Dawn is an sole proprietor health care provider with primary practice located at 351 Hartnell Ave , Redding CA 96002. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Martin, Michele Dawn can be contacted via phone (530) 226-7639.

Contact Information

Primary practice address
351 Hartnell Ave Redding CA 96002
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X E4786 California

Profile Details

NPI number 1760446850
LBN Legal business name Martin, Michele Dawn
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 14th, 2006
Last updated Jun 21st, 2018 - about 6 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 1760446850 NPPES
California MEDICAID 1760446850
California Other 480026955
California MEDICAID 045823401
California Other 88152G

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