Martin, Jennifer A
Martin, Jennifer A is an sole proprietor health care provider with primary practice located at 1295 Westhaven Dr , Vail CO 81657-4395. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is her primary health care specialty. Martin, Jennifer A can be contacted via phone (970) 476-7510.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5264 | Minnesota |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic | 2251X0800X | 0004838 | Colorado |
Profile Details
| NPI number | 1023072188 |
|---|---|
| LBN Legal business name | Martin, Jennifer A |
| Credentials | DPT, OCS, FAAOMPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Apr 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023072188 | NPPES |
| Minnesota | Other | 060T1MA | BC INDIV PROV ID |
| Minnesota | MEDICAID | 076649600 | BC INDIV PROV ID |
| Minnesota | Other | 6402269 | BC INDIV PROV ID |
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