Martinez, Cheryl

Martinez, Cheryl is an sole proprietor health care provider with primary practice located at 1301 M St , Fresno CA 93721-1807. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Martinez, Cheryl can be contacted via phone (559) 457-3301.

Contact Information

Primary practice address
1301 M St Fresno CA 93721-1807
Phone: (559) 457-3301
Fax: (559) 457-6095
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 493111 California

Profile Details

NPI number 1114324738
LBN Legal business name Martinez, Cheryl
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 25th, 2014
Last updated Nov 25th, 2014 - about 12 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 1114324738 NPPES
California MEDICAID SS1062166

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