Martinez, Michael R
Martinez, Michael R is an individual health care provider with primary practice located at 2345 Bent Way , Longmont CO 80503-7614. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Martinez, Michael R can be contacted via phone (303) 678-3237.Contact Information
Primary practice address
2345 Bent Way
Longmont CO 80503-7614
Phone: (303) 678-3237
Fax: (303) 678-3225
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 31932 | Colorado |
Profile Details
| NPI number | 1023152824 |
|---|---|
| LBN Legal business name | Martinez, Michael R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2007 |
| Last updated | Nov 8th, 2007 - about 18 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 | 1023152824 | NPPES |
| Colorado | MEDICAID | 01319326 | |
| Colorado | Other | 007019 |
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