Martin, Sandra L

Martin, Sandra L is an individual health care provider with primary practice located at 1001 Portero Avenue Rm 3A36, San Francisco CA 94110-3518. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Martin, Sandra L can be contacted via phone (415) 206-8811.

Contact Information

Primary practice address
1001 Portero Avenue Rm 3A36 San Francisco CA 94110-3518
Phone: (415) 206-8811
Fax: (415) 647-3733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E3341 California
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E3341 California

Profile Details

NPI number 1285689943
LBN Legal business name Martin, Sandra L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1285689943 NPPES
California MEDICAID 000E33410

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