Martinez, Jacen A
Martinez, Jacen A is an individual health care provider with primary practice located at 1400 Front Ave Suite 100, Lutherville MD 21093-5300. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Martinez, Jacen A can be contacted via phone (410) 296-6232.Contact Information
Primary practice address
1400 Front Ave Suite 100
Lutherville MD 21093-5300
Phone: (410) 296-6232
Fax: (410) 821-5943
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | C0001908 | Maryland |
Profile Details
NPI number | 1568560472 |
---|---|
LBN Legal business name | Martinez, Jacen A |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 21st, 2006 |
Last updated | Sep 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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