Martin, Jay W
Martin, Jay W is an sole proprietor health care provider with primary practice located at 825 W Market St Suite 205, Lima OH 45805-2799. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Martin, Jay W can be contacted via phone (419) 996-5780.Contact Information
Primary practice address
825 W Market St Suite 205
Lima OH 45805-2799
Phone: (419) 996-5780
Fax: (419) 996-5781
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35-042566 | Ohio |
Profile Details
| NPI number | 1326026444 |
|---|---|
| LBN Legal business name | Martin, Jay W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2006 |
| Last updated | Dec 22nd, 2014 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326026444 | NPPES |
| Ohio | Other | 000000029134 | ANTHEM |
| Ohio | MEDICAID | 0396530 | ANTHEM |
| Ohio | Other | 000000029133 | ANTHEM |
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