Smietanka, Martin A

Smietanka, Martin A is an individual health care provider with primary practice located at 2211 W Magnolia Blvd 120, Burbank CA 91506-1753. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smietanka, Martin A can be contacted via phone (818) 955-5773.

Contact Information

Primary practice address
2211 W Magnolia Blvd 120 Burbank CA 91506-1753
Fax: (818) 955-5181
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A40178 California

Profile Details

NPI number 1295737252
LBN Legal business name Smietanka, Martin A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2005
Last updated Feb 12th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295737252 NPPES
California MEDICAID 00A401780

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