Martinie, Rebecca Gayle

Martinie, Rebecca Gayle is an individual health care provider with primary practice located at 4855 S Moorland Rd Fl 3 , New Berlin WI 53151-7494. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Martinie, Rebecca Gayle can be contacted via phone (262) 432-7599.

Contact Information

Primary practice address
4855 S Moorland Rd Fl 3 New Berlin WI 53151-7494
Phone: (262) 432-7599
Fax: (262) 432-7694
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X Q4630 Texas
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X Q4630 Texas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 71893-20 Wisconsin

Profile Details

NPI number 1700144698
LBN Legal business name Martinie, Rebecca Gayle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2012
Last updated Oct 11th, 2019 - about 6 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 1700144698 NPPES
Wisconsin MEDICAID 1700144698

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