Martinez, Michelle

Martinez, Michelle is an individual health care provider with primary practice located at 200 West Hospital Road , Whiteriver AZ 85941-0860. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Martinez, Michelle can be contacted via phone (928) 338-4911.

Contact Information

Primary practice address
200 West Hospital Road Whiteriver AZ 85941-0860
Phone: (928) 338-4911
Fax: (928) 338-3522
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AZ 532 Arizona

Profile Details

NPI number 1407972532
LBN Legal business name Martinez, Michelle
Credentials FNPC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Dec 15th, 2008 - about 18 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 1407972532 NPPES
Arizona MEDICAID 1780614008
Arizona MEDICAID 483909
Arizona MEDICAID 1871523191
Arizona MEDICAID 1629236716
Arizona MEDICAID 1295993376

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