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
Phone: (805) 379-9646
Fax: (805) 379-0611
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912914359 | NPPES |
| California | Other | P00957558 | MEDICARE RAILROAD |
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