Martinez, Mark L

Martinez, Mark L is an individual health care provider with primary practice located at 8 Th Avenue And C St , Salt Lake City UT 84143-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Martinez, Mark L can be contacted via phone (801) 408-7100.

Contact Information

Primary practice address
8 Th Avenue And C St Salt Lake City UT 84143-0001
Fax: (801) 296-1715
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 4975474-1205 Utah

Profile Details

NPI number 1508861964
LBN Legal business name Martinez, Mark L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Jun 1st, 2015 - about 10 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 1508861964 NPPES
Utah MEDICAID 1508861964

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