Martinez, Elisa R.

Martinez, Elisa R. is an individual health care provider with primary practice located at 2101 Tenaya Dr , Modesto CA 95354-3930. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Martinez, Elisa R. can be contacted via phone (209) 576-6766.

Contact Information

Primary practice address
2101 Tenaya Dr Modesto CA 95354-3930
Phone: (209) 576-6766
Fax: (209) 576-6776
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA12678 California

Profile Details

NPI number 1720061716
LBN Legal business name Martinez, Elisa R.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Nov 7th, 2013 - about 13 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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