Martin, Stanley Michael
Martin, Stanley Michael is an individual health care provider with primary practice located at 1011 Sylvan Ave , Modesto CA 95350-1692. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Martin, Stanley Michael can be contacted via phone (209) 575-2020.Contact Information
Primary practice address
1011 Sylvan Ave
Modesto CA 95350-1692
Phone: (209) 575-2020
Fax: (209) 758-5693
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 5180T | California |
Profile Details
| NPI number | 1093704264 |
|---|---|
| LBN Legal business name | Martin, Stanley Michael |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Jan 27th, 2011 - about 13 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 | 1093704264 | NPPES |
| Other | 410043677 | RAILROAD MEDICARE | |
| MEDICAID | SD0051800 | RAILROAD MEDICARE |
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