Martinez, Heidi Shauna
Martinez, Heidi Shauna is an sole proprietor health care provider with primary practice located at 35 S G St , Lakeview OR 97630-1817. 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, Heidi Shauna can be contacted via phone (541) 947-6021.Contact Information
Primary practice address
35 S G St
Lakeview OR 97630-1817
Phone: (541) 947-6021
Fax: (541) 219-8114
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 5279 | Colorado |
Profile Details
| NPI number | 1386879468 |
|---|---|
| LBN Legal business name | Martinez, Heidi Shauna |
| Credentials | M.A., LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2009 |
| Last updated | Dec 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386879468 | NPPES |
| Colorado | MEDICAID | 1386879468 |
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