Martin, William W

Martin, William W is an sole proprietor health care provider with primary practice located at 665 Camino De Los Mares Suite 104, San Clemente CA 92673-2859. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Martin, William W can be contacted via phone (949) 248-7377.

Contact Information

Primary practice address
665 Camino De Los Mares Suite 104 San Clemente CA 92673-2859
Phone: (949) 248-7377
Fax: (866) 806-2796
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY9840 California

Profile Details

NPI number 1740205186
LBN Legal business name Martin, William W
Credentials PH.D.,P.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2006
Last updated Jun 8th, 2015 - about 10 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 1740205186 NPPES
California Other 33-0295334 COM VOC SRVS-WORK COMP

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