Martonick, Gregory Joseph

Martonick, Gregory Joseph is an sole proprietor health care provider with primary practice located at 320 W Willow St Ste 6 , Walla Walla WA 99362-2922. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Martonick, Gregory Joseph can be contacted via phone (509) 525-4840.

Contact Information

Primary practice address
320 W Willow St Ste 6 Walla Walla WA 99362-2922
Fax: (509) 529-7355
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 252-09-0018690 Washington

Profile Details

NPI number 1689758195
LBN Legal business name Martonick, Gregory Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated Jul 8th, 2007 - about 17 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 1689758195 NPPES
Washington MEDICAID 1300342
Washington Other 0063736

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