Martinez, Mike T

Martinez, Mike T is an sole proprietor health care provider with primary practice located at 1848 Fulton Ave , Sacramento CA 95825-1925. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is his primary health care specialty. Martinez, Mike T can be contacted via phone (916) 488-1478.

Contact Information

Primary practice address
1848 Fulton Ave Sacramento CA 95825-1925
Phone: (916) 488-1478
Fax: (916) 488-1807
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X CO2798 California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X CO2798 California

Profile Details

NPI number 1275704686
LBN Legal business name Martinez, Mike T
Credentials Certified Orthotist (CO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2008
Last updated Jul 25th, 2008 - about 17 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 1275704686 NPPES
California Other C00027980 BC
California MEDICAID XA0027980 BC
California Other 0152576 BC
California Other C00027980 BC

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