Martin, Jessie
Martin, Jessie is an sole proprietor health care provider with primary practice located at 1415 Colonial Blvd Ste 1 , Fort Myers FL 33907. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Martin, Jessie can be contacted via phone (239) 202-4517.Contact Information
Primary practice address
1415 Colonial Blvd Ste 1
Fort Myers FL 33907
Phone: (239) 202-4517
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | ACN783 | Florida |
Profile Details
| NPI number | 1073547972 |
|---|---|
| LBN Legal business name | Martin, Jessie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Jul 24th, 2018 - about 8 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 | 1073547972 | NPPES |
| Kansas | Other | 105600 | PERFORMING INDIV. NUMBER |
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