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:
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Health care specialties

SpecialtyCodeLicense #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 9 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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