Martinez, Mary Alice

Martinez, Mary Alice is an individual health care provider with primary practice located at 1236 E Elizabeth St Suite 1, Fort Collins CO 80524-4000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Martinez, Mary Alice can be contacted via phone (970) 224-2985.

Contact Information

Primary practice address
1236 E Elizabeth St Suite 1 Fort Collins CO 80524-4000
Phone: (970) 224-2985
Fax: (970) 472-9381
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X H1143 Texas
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X DR.0028698 Colorado

Profile Details

NPI number 1316935133
LBN Legal business name Martinez, Mary Alice
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Jun 7th, 2013 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1316935133 NPPES
Colorado MEDICAID 01286988
Colorado MEDICAID 102616000

Popular Providers