Fierro, Martin Anthony

Fierro, Martin Anthony is an sole proprietor health care provider with primary practice located at 6731 Five Star Blvd Suite E, Rocklin CA 95677-2680. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Fierro, Martin Anthony can be contacted via phone (916) 630-0300.

Contact Information

Primary practice address
6731 Five Star Blvd Suite E Rocklin CA 95677-2680
Phone: (916) 630-0300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC38554 California

Profile Details

NPI number 1578780334
LBN Legal business name Fierro, Martin Anthony
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2007
Last updated Feb 11th, 2022 - about 4 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 1578780334 NPPES
California MEDICAID 9949

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