Martinez, Mark L
Martinez, Mark L is an individual health care provider with primary practice located at 8 Th Avenue And C St , Salt Lake City UT 84143-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Martinez, Mark L can be contacted via phone (801) 408-7100.Contact Information
Primary practice address
8 Th Avenue And C St
Salt Lake City UT 84143-0001
Phone: (801) 408-7100
Fax: (801) 296-1715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 4975474-1205 | Utah |
Profile Details
| NPI number | 1508861964 |
|---|---|
| LBN Legal business name | Martinez, Mark L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Jun 1st, 2015 - about 11 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 | 1508861964 | NPPES |
| Utah | MEDICAID | 1508861964 |
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