Martincic, Denise Marie

Martincic, Denise Marie is an sole proprietor health care provider with primary practice located at 8259 N Octavia Ave , Niles IL 60714-2624. She recently has 4 registered licenses in different health care specialties including Transportation Services / Bus, Transportation Services / Private Vehicle, Transportation Services / Transportation Broker, Other Service Providers / Driver. Other Service Providers / Driver is her primary health care specialty. Martincic, Denise Marie can be contacted via phone (216) 331-9365.

Contact Information

Primary practice address
8259 N Octavia Ave Niles IL 60714-2624
Phone: (216) 331-9365
Fax: (216) 671-3991
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Transportation Services / Bus 347B00000X
Transportation Services / Private Vehicle 347C00000X Illinois
Transportation Services / Transportation Broker 347E00000X
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1982165304
LBN Legal business name Martincic, Denise Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 28th, 2019
Last updated Mar 28th, 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 1982165304 NPPES
Illinois MEDICAID 9987

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