Martin, Jessica

Martin, Jessica is an individual health care provider with primary practice located at 4199 Gateway Blvd , Newburgh IN 47630-8940. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Martin, Jessica can be contacted via phone (812) 858-5938.

Contact Information

Primary practice address
4199 Gateway Blvd Newburgh IN 47630-8940
Phone: (812) 858-5938
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 37001949A Indiana

Profile Details

NPI number 1730736901
LBN Legal business name Martin, Jessica
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2019
Last updated Aug 22nd, 2019 - about 7 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 1730736901 NPPES
Indiana Other 37001949A STATE LICENSE

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