Martinez, Mario Daniel

Martinez, Mario Daniel is an individual health care provider with primary practice located at 405 Monroe St , Pella IA 50219-1290. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Martinez, Mario Daniel can be contacted via phone (641) 621-2200.

Contact Information

Primary practice address
405 Monroe St Pella IA 50219-1290
Phone: (641) 621-2200
Fax: (641) 621-2335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD61287183 Washington

Profile Details

NPI number 1588223952
LBN Legal business name Martinez, Mario Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2019
Last updated Oct 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588223952 NPPES
Washington MEDICAID 2212517
Washington MEDICAID 1588223952

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