Martin, Zeal A
Martin, Zeal A is an sole proprietor health care provider with primary practice located at 315 S 11Th Ave Apt A , Highland Park NJ 08904-3430. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Martin, Zeal A can be contacted via phone (917) 886-2098.Contact Information
Primary practice address
315 S 11Th Ave Apt A
Highland Park NJ 08904-3430
Phone: (917) 886-2098
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Social Worker | 104100000X | 44SL06463700 | New Jersey |
Profile Details
NPI number | 1124544267 |
---|---|
LBN Legal business name | Martin, Zeal A |
Credentials | LSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 21st, 2017 |
Last updated | Apr 2nd, 2019 - about 5 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 | 1124544267 | NPPES |
New Jersey | MEDICAID | 0023701 |
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