Mayfield, Martin Ray

Mayfield, Martin Ray is an individual health care provider with primary practice located at 134 W Piccadilly Street , Winchester VA 22601. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Mayfield, Martin Ray can be contacted via phone (540) 667-1389.

Contact Information

Primary practice address
134 W Piccadilly Street Winchester VA 22601
Fax: (540) 667-1394
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 0803000101 Virginia

Profile Details

NPI number 1700967841
LBN Legal business name Mayfield, Martin Ray
Credentials EDD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 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 1700967841 NPPES
Virginia Other 110394 VALUE OPTIONS
Virginia Other 204047 VALUE OPTIONS

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