Martin, Johnathan

Martin, Johnathan is an sole proprietor health care provider with primary practice located at 1970 Roanoke Blvd Salem Va Medical Center, Salem VA 24153-6404. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Martin, Johnathan can be contacted via phone (540) 982-2463.

Contact Information

Primary practice address
1970 Roanoke Blvd Salem Va Medical Center Salem VA 24153-6404
Phone: (540) 982-2463
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810005692 Virginia

Profile Details

NPI number 1699128488
LBN Legal business name Martin, Johnathan
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2016
Last updated May 15th, 2017 - about 9 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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