Martinez, Jorge A

Martinez, Jorge A is an individual health care provider with primary practice located at 1615 12Th Ave Rd Ste B, Nampa ID 83686-7713. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Martinez, Jorge A can be contacted via phone (208) 498-1700.

Contact Information

Primary practice address
1615 12Th Ave Rd Ste B Nampa ID 83686-7713
Fax: (208) 498-1745
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X M6614 Idaho

Profile Details

NPI number 1922076082
LBN Legal business name Martinez, Jorge A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Dec 14th, 2007 - about 17 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 1922076082 NPPES
Idaho Other B4117 BLUE CROSS
Idaho Other 000010150357 BLUE CROSS

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