Martinez, John Gilbert
Martinez, John Gilbert is an individual health care provider with primary practice located at 4403 Harrison Blvd Suite 2600, Ogden UT 84403-3271. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Martinez, John Gilbert can be contacted via phone (801) 387-4870.Contact Information
Primary practice address
4403 Harrison Blvd Suite 2600
Ogden UT 84403-3271
Phone: (801) 387-4870
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 7979 | Nevada |
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | 7979 | Nevada |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 7650579-1205 | Utah |
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | 7650579-1205 | Utah |
Profile Details
NPI number | 1710957980 |
---|---|
LBN Legal business name | Martinez, John Gilbert |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 23rd, 2006 |
Last updated | Jan 27th, 2011 - about 13 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 | 1710957980 | NPPES |
Nevada | MEDICAID | 0020-19807 | |
Nevada | MEDICAID | 1710957980 |
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