Wareham, Martin Edward

Wareham, Martin Edward is an sole proprietor health care provider with primary practice located at 2876 Sycamore Dr Ste 303, Simi Valley CA 93065-1550. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Wareham, Martin Edward can be contacted via phone (805) 379-9646.

Contact Information

Primary practice address
2876 Sycamore Dr Ste 303 Simi Valley CA 93065-1550
Fax: (805) 379-0611
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X G37934 California

Profile Details

NPI number 1912914359
LBN Legal business name Wareham, Martin Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 1st, 2006
Last updated Nov 29th, 2018 - about 6 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 1912914359 NPPES
California Other P00957558 MEDICARE RAILROAD

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