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
Fax: (610) 372-7684
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487610663 NPPES
Pennsylvania Other 50046110 CAPITAL BC

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