Martin, Charles Robert

Martin, Charles Robert is an individual health care provider with primary practice located at 3901 Creekside Loop Suite 102, Yakima WA 98902. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Martin, Charles Robert can be contacted via phone (509) 248-6113.

Contact Information

Primary practice address
3901 Creekside Loop Suite 102 Yakima WA 98902
Phone: (509) 248-6113
Fax: (509) 457-8941
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00003868 Washington

Profile Details

NPI number 1255395679
LBN Legal business name Martin, Charles Robert
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Jul 8th, 2007 - about 19 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 1255395679 NPPES
Washington MEDICAID 8343691
Washington Other 186246

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