Martinez, Nicole Michelle

Martinez, Nicole Michelle is an individual health care provider with primary practice located at 845 N New Ballas Ct Ste 360 , Creve Coeur MO 63141-7124. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Martinez, Nicole Michelle can be contacted via phone (314) 219-1247.

Contact Information

Primary practice address
845 N New Ballas Ct Ste 360 Creve Coeur MO 63141-7124
Phone: (314) 219-1247
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X N0250 Texas
Allopathic & Osteopathic Physicians / Surgery 208600000X 265640 New York

Profile Details

NPI number 1780894113
LBN Legal business name Martinez, Nicole Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Aug 11th, 2022 - about 4 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 1780894113 NPPES
New York MEDICAID 03504267
New York MEDICAID 102784987

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