Martin, Benny Joe

Martin, Benny Joe is an individual health care provider with primary practice located at 400 Craven Rd , San Marcos CA 92078-4201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Martin, Benny Joe can be contacted via phone (800) 290-5000.

Contact Information

Primary practice address
400 Craven Rd San Marcos CA 92078-4201
Phone: (800) 290-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A12203 California

Profile Details

NPI number 1619975232
LBN Legal business name Martin, Benny Joe
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2005
Last updated Feb 23rd, 2015 - about 11 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 1619975232 NPPES
Illinois MEDICAID 036114292
Illinois MEDICAID 100256740D
Illinois Other 06032182

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