Martin, Gary Robert

Martin, Gary Robert is an sole proprietor health care provider with primary practice located at 516 Laurel Lane , Naples ID 83847. He recently has 3 registered licenses in different health care specialties including Agencies / In Home Supportive Care, Nursing & Custodial Care Facilities / Assisted Living Facility, Agencies / Foster Care Agency. Agencies / Foster Care Agency is his primary health care specialty. Martin, Gary Robert can be contacted via phone (208) 610-1686.

Contact Information

Primary practice address
516 Laurel Lane Naples ID 83847
Phone: (208) 610-1686
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / In Home Supportive Care 253Z00000X
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X CHF-2918 Idaho
Agencies / Foster Care Agency 253J00000X CHF-2918 Idaho

Profile Details

NPI number 1073226437
LBN Legal business name Martin, Gary Robert
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2022
Last updated Feb 16th, 2023 - 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 1073226437 NPPES
Idaho MEDICAID IDTPID006303

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