Martinez, Jeffrey L
Martinez, Jeffrey L is an individual health care provider with primary practice located at 1270 Broadcasting Rd , Wyomissing PA 19610-3203. 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, Jeffrey L can be contacted via phone (610) 372-1140.Contact Information
Primary practice address
1270 Broadcasting Rd
Wyomissing PA 19610-3203
Phone: (610) 372-1140
Fax: (610) 372-7684
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA003079L | Pennsylvania |
Profile Details
NPI number | 1487610663 |
---|---|
LBN Legal business name | Martinez, Jeffrey L |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 25th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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 | 1487610663 | NPPES |
Pennsylvania | Other | 50046110 | CAPITAL BC |
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