Martin, Jason

Martin, Jason is an individual health care provider with primary practice located at 13734 S 1St E , Idaho Falls ID 83404-7852. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Martin, Jason can be contacted via phone (208) 360-0288.

Contact Information

Primary practice address
13734 S 1St E Idaho Falls ID 83404-7852
Phone: (208) 360-0288
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NUR-RN-LIC-39018 Montana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X NP 1389A Idaho

Profile Details

NPI number 1639507551
LBN Legal business name Martin, Jason
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2013
Last updated Jun 25th, 2020 - about 6 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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