Martin, Jason Richard

Martin, Jason Richard is an individual health care provider with primary practice located at 409 W Ludington Ave Suite 101, Ludington MI 49431-2377. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Martin, Jason Richard can be contacted via phone (231) 845-7240.

Contact Information

Primary practice address
409 W Ludington Ave Suite 101 Ludington MI 49431-2377
Phone: (231) 845-7240
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 19317 Michigan

Profile Details

NPI number 1518036524
LBN Legal business name Martin, Jason Richard
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 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 1518036524 NPPES
Michigan MEDICAID 4926597

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