Martin, Michael W.
Martin, Michael W. is an individual health care provider with primary practice located at 104 Tilghman Dr , Dunn NC 28334-5533. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Martin, Michael W. can be contacted via phone (910) 892-1333.Contact Information
Primary practice address
104 Tilghman Dr
Dunn NC 28334-5533
Phone: (910) 892-1333
Fax: (910) 892-2929
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C001527 | North Carolina |
Profile Details
| NPI number | 1104846294 |
|---|---|
| LBN Legal business name | Martin, Michael W. |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2006 |
| Last updated | Sep 4th, 2008 - about 17 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 | 1104846294 | NPPES |
| North Carolina | MEDICAID | 6003580 |
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