Martinez, Etta

Martinez, Etta is an individual health care provider with primary practice located at 16278 Prince Dr , South Holland IL 60473-3233. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Martinez, Etta can be contacted via phone (708) 444-1012.

Contact Information

Primary practice address
16278 Prince Dr South Holland IL 60473-3233
Phone: (708) 444-1012
Fax: (708) 614-7831
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1548899040
LBN Legal business name Martinez, Etta
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2020
Last updated Apr 6th, 2020 - about 4 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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