Martin, Stephanie

Martin, Stephanie is an individual health care provider with primary practice located at 4864 E Baseline Rd Ste 101 , Mesa AZ 85206-4629. She recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as her primary health care specialty. Martin, Stephanie can be contacted via phone (480) 756-6000.

Contact Information

Primary practice address
4864 E Baseline Rd Ste 101 Mesa AZ 85206-4629
Fax: (480) 546-4136
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 3552 Arizona

Profile Details

NPI number 1679537997
LBN Legal business name Martin, Stephanie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Apr 9th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679537997 NPPES
Arizona MEDICAID 515736

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