Martino, Gregory M
Martino, Gregory M is an sole proprietor health care provider with primary practice located at 214 Mc Cracken Run Road , Dubois PA 15801-3634. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Martino, Gregory M can be contacted via phone (814) 371-2577.Contact Information
Primary practice address
214 Mc Cracken Run Road
Dubois PA 15801-3634
Phone: (814) 371-2577
Fax: (814) 371-2577
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PS008503L | Pennsylvania |
Profile Details
| NPI number | 1740281138 |
|---|---|
| LBN Legal business name | Martino, Gregory M |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Mar 27th, 2014 - 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 | 1740281138 | NPPES |
| Other | P00067507 | RAILROAD | |
| Other | 340518 | RAILROAD | |
| Other | 021494 | RAILROAD | |
| MEDICAID | 0019479780003 | RAILROAD |
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