Martinez, Modesto Alonzo
Martinez, Modesto Alonzo is an sole proprietor health care provider with primary practice located at 14203 Business Ave , Laredo TX 78045-7909. He recently has only one registered license in Other Service Providers / Contractor, which is considered as his primary health care specialty. Martinez, Modesto Alonzo can be contacted via phone (956) 744-1264.Contact Information
Primary practice address
14203 Business Ave
Laredo TX 78045-7909
Phone: (956) 744-1264
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X |
Profile Details
| NPI number | 1609514629 |
|---|---|
| LBN Legal business name | Martinez, Modesto Alonzo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 20th, 2022 |
| Last updated | May 20th, 2022 - about 2 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 | 1609514629 | NPPES |
| Texas | Other | 11650142 | TEXAS DL |
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