Martin, Sanford Paul

Martin, Sanford Paul is an individual health care provider with primary practice located at 1417 Battlefield Blvd N Suite 115, Chesapeake VA 23320-4516. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Martin, Sanford Paul can be contacted via phone (757) 312-8002.

Contact Information

Primary practice address
1417 Battlefield Blvd N Suite 115 Chesapeake VA 23320-4516
Phone: (757) 312-8002
Fax: (757) 312-9299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701001939 Virginia

Profile Details

NPI number 1932187986
LBN Legal business name Martin, Sanford Paul
Credentials ED.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932187986 NPPES
Virginia Other 0701001939 LPC LICENSE
Virginia MEDICAID 54-05157 LPC LICENSE

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