Martin, Jana Marie

Martin, Jana Marie is an individual health care provider with primary practice located at 1920 Malvern Ave , Hot Springs AR 71901-7752. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Martin, Jana Marie can be contacted via phone (501) 321-1314.

Contact Information

Primary practice address
1920 Malvern Ave Hot Springs AR 71901-7752
Phone: (501) 321-1314
Fax: (501) 321-1810
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X R4078 Arkansas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X H2567 Texas

Profile Details

NPI number 1710976493
LBN Legal business name Martin, Jana Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Mar 29th, 2011 - about 15 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 1710976493 NPPES
Arkansas MEDICAID 117170001

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