Martinez, Samuel
Martinez, Samuel is an sole proprietor health care provider with primary practice located at 21260 N. 1450 E. , Moroni UT 84646-0383. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Martinez, Samuel can be contacted via phone (435) 445-3575.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1043687742 |
|---|---|
| LBN Legal business name | Martinez, Samuel |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2015 |
| Last updated | Aug 28th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043687742 | NPPES |
| Utah | MEDICAID | 1 |
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