Martinez, Alfonso J
Martinez, Alfonso J is an individual health care provider with primary practice located at 19600 E 39Th St S , Independence MO 64057-2301. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Martinez, Alfonso J can be contacted via phone (816) 425-6084.Contact Information
Primary practice address
19600 E 39Th St S
Independence MO 64057-2301
Phone: (816) 425-6084
Fax: (816) 873-1121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | R8566 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | R8566 | Missouri |
Profile Details
| NPI number | 1821013517 |
|---|---|
| LBN Legal business name | Martinez, Alfonso J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Feb 7th, 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 | 1821013517 | NPPES |
| Other | 08700069 | BCBS KANSAS CITY | |
| MEDICAID | 201362456 | BCBS KANSAS CITY |
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