Martin, Jennifer I

Martin, Jennifer I is an sole proprietor health care provider with primary practice located at 325 N Bergin Ln , Bloomfield NM 87413-6729. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Martin, Jennifer I can be contacted via phone (505) 632-4389.

Contact Information

Primary practice address
325 N Bergin Ln Bloomfield NM 87413-6729
Fax: (505) 632-4371
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1426 New Mexico

Profile Details

NPI number 1992070775
LBN Legal business name Martin, Jennifer I
Credentials MA; CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2012
Last updated Mar 13th, 2012 - about 14 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 1992070775 NPPES
New Mexico MEDICAID 000K7825
New Mexico MEDICAID 064434826

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