Martonito, Jayzon P

Martonito, Jayzon P is an individual health care provider with primary practice located at 855 N Westhaven Dr , Oshkosh WI 54904. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Martonito, Jayzon P can be contacted via phone (920) 303-8700.

Contact Information

Primary practice address
855 N Westhaven Dr Oshkosh WI 54904
Phone: (920) 303-8700
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 55355-20 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 55355 Wisconsin

Profile Details

NPI number 1306099676
LBN Legal business name Martonito, Jayzon P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2008
Last updated Dec 2nd, 2021 - about 4 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 1306099676 NPPES
Wisconsin MEDICAID 100014774

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