Martino, Michael J
Martino, Michael J is an sole proprietor health care provider with primary practice located at 1200 Carson Ave Ste 102 , La Junta CO 81050-2700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Martino, Michael J can be contacted via phone (719) 383-5970.Contact Information
Primary practice address
1200 Carson Ave Ste 102
La Junta CO 81050-2700
Phone: (719) 383-5970
Fax: (719) 383-5974
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DR36536 | Colorado |
Profile Details
| NPI number | 1811926561 |
|---|---|
| LBN Legal business name | Martino, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 2nd, 2006 |
| Last updated | Apr 18th, 2008 - about 16 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 | 1811926561 | NPPES |
| Colorado | Other | 80164496 | RAILROAD MEDICARE |
| Colorado | Other | MAM6084 | RAILROAD MEDICARE |
| Colorado | MEDICAID | 01365360 | RAILROAD MEDICARE |
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