Martinez-Uribe, Dawn

Martinez-Uribe, Dawn is an individual health care provider with primary practice located at 904 E. Martin Luther King Drive , Centralia IL 62801-3058. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Nursing Service Providers / Licensed Practical Nurse. Nursing Service Providers / Licensed Practical Nurse is her primary health care specialty. Martinez-Uribe, Dawn can be contacted via phone (618) 533-1391.

Contact Information

Primary practice address
904 E. Martin Luther King Drive Centralia IL 62801-3058
Phone: (618) 533-1391
Fax: (618) 533-0012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X Illinois
Nursing Service Providers / Licensed Practical Nurse 164W00000X 043.089787 Illinois

Profile Details

NPI number 1598239998
LBN Legal business name Martinez-Uribe, Dawn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2019
Last updated Jul 8th, 2019 - about 5 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 1598239998 NPPES
Illinois MEDICAID 370915481007

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