Martinez, Keyna Ann
Martinez, Keyna Ann is an individual health care provider with primary practice located at 1144 W Plymouth St , Bremen IN 46506-1842. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Martinez, Keyna Ann can be contacted via phone (574) 546-5363.Contact Information
Primary practice address
1144 W Plymouth St
Bremen IN 46506-1842
Phone: (574) 546-5363
Fax: (574) 546-2575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01065420A | Indiana |
Profile Details
| NPI number | 1013941699 |
|---|---|
| LBN Legal business name | Martinez, Keyna Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 10th, 2006 |
| Last updated | Apr 28th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013941699 | NPPES |
| Indiana | MEDICAID | 200969910 |
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