Sobieraj, Martin

Sobieraj, Martin is an individual health care provider with primary practice located at 815 E Juan Sanchez Blvd , San Luis AZ 85349-2017. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Sobieraj, Martin can be contacted via phone (928) 627-8584.

Contact Information

Primary practice address
815 E Juan Sanchez Blvd San Luis AZ 85349-2017
Fax: (928) 627-8949
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6664867-9921 Utah
Dental Providers / General Practice 1223G0001X D7393 Arizona

Profile Details

NPI number 1851591705
LBN Legal business name Sobieraj, Martin
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2007
Last updated Mar 9th, 2016 - about 8 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 1851591705 NPPES
Arizona MEDICAID 232643

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