Martinez, Keith H
Martinez, Keith H is an sole proprietor health care provider with primary practice located at 1 Corbett Way , Eatontown NJ 07724-4247. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Martinez, Keith H can be contacted via phone (732) 380-7061.Contact Information
Primary practice address
1 Corbett Way
Eatontown NJ 07724-4247
Phone: (732) 380-7061
Fax: (732) 380-7508
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 37LC00155000 | New Jersey |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC05187400 | New Jersey |
Profile Details
| NPI number | 1447596028 |
|---|---|
| LBN Legal business name | Martinez, Keith H |
| Credentials | LCSW, LCADC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 30th, 2012 |
| Last updated | Mar 27th, 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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