Martinez, Jesse

Martinez, Jesse is an individual health care provider with primary practice located at 9377 N Haggerty Rd , Plymouth MI 48170-4622. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Martinez, Jesse can be contacted via phone (734) 451-0070.

Contact Information

Primary practice address
9377 N Haggerty Rd Plymouth MI 48170-4622
Phone: (734) 451-0070
Fax: (734) 451-1583
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5101012766 Michigan

Profile Details

NPI number 1699762567
LBN Legal business name Martinez, Jesse
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Jan 8th, 2019 - about 5 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 1699762567 NPPES
Michigan MEDICAID 4166042-11
Michigan MEDICAID 4387007-11

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