Martin, Phillip

Martin, Phillip is an individual health care provider with primary practice located at 1875 Station Pkwy Nw , Andover MN 55304-3319. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Martin, Phillip can be contacted via phone (763) 482-9598.

Contact Information

Primary practice address
1875 Station Pkwy Nw Andover MN 55304-3319
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1497108898
LBN Legal business name Martin, Phillip
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2016
Last updated Jul 19th, 2022 - about 2 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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