Martindale, Brett Wayne

Martindale, Brett Wayne is an individual health care provider with primary practice located at 4700 Harrison Blvd , Ogden UT 84403-4303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Martindale, Brett Wayne can be contacted via phone (801) 475-3300.

Contact Information

Primary practice address
4700 Harrison Blvd Ogden UT 84403-4303
Phone: (801) 475-3300
Fax: (801) 475-3301
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 9093263-1205 Utah

Profile Details

NPI number 1164860573
LBN Legal business name Martindale, Brett Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2013
Last updated Jun 16th, 2018 - about 7 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 1164860573 NPPES
Utah Other U000098254 MEDICARE PART B
Utah MEDICAID 1164860573 MEDICARE PART B

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