Jenter, Martin William

Jenter, Martin William is an individual health care provider with primary practice located at 26850 Providence Parkway, Suite 355 , Novi MI 48374-1209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Jenter, Martin William can be contacted via phone (248) 347-2435.

Contact Information

Primary practice address
26850 Providence Parkway, Suite 355 Novi MI 48374-1209
Phone: (248) 347-2435
Fax: (248) 347-3608
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 5101011365 Michigan

Profile Details

NPI number 1336125079
LBN Legal business name Jenter, Martin William
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 15th, 2005
Last updated Apr 22nd, 2024 - about 2 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 1336125079 NPPES
Michigan Other 383607217 P.C. TAX ID
Michigan MEDICAID 4791638 P.C. TAX ID
Michigan Other 200F318000 P.C. TAX ID

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