Bomalaski, Martin Nicholas
Bomalaski, Martin Nicholas is an individual health care provider with primary practice located at 200 Ne Mother Joseph Pl Ste 100 , Vancouver WA 98664-3292. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Bomalaski, Martin Nicholas can be contacted via phone (360) 514-3142.Contact Information
Primary practice address
200 Ne Mother Joseph Pl Ste 100
Vancouver WA 98664-3292
Phone: (360) 514-3142
Fax: (360) 514-6809
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | MD189020 | Oregon |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | MD60739177 | Washington |
Profile Details
| NPI number | 1508109349 |
|---|---|
| LBN Legal business name | Bomalaski, Martin Nicholas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2013 |
| Last updated | Jan 24th, 2020 - 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 | 1508109349 | NPPES |
| Washington | MEDICAID | 1508109349 | |
| Washington | Other | 8967115 |
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