Martinez, Elliott O
Martinez, Elliott O is an individual health care provider with primary practice located at State Road 108 Bldg 3005 Dewert Branch Health Clinic, Bridgeport CA 93517-7777. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Martinez, Elliott O can be contacted via phone (760) 932-1616.Contact Information
Primary practice address
State Road 108 Bldg 3005 Dewert Branch Health Clinic
Bridgeport CA 93517-7777
Phone: (760) 932-1616
Fax: (760) 932-1623
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Independent Duty Corpsman | 1710I1002X |
Profile Details
| NPI number | 1871786335 |
|---|---|
| LBN Legal business name | Martinez, Elliott O |
| Credentials | IDC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 19th, 2007 |
| Last updated | Oct 23rd, 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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