Martinez, Shelly Slovak
Martinez, Shelly Slovak is an individual health care provider with primary practice located at 2501 Paredes Line Rd Ste B3 , Brownsville TX 78526-1195. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Martinez, Shelly Slovak can be contacted via phone (956) 542-9200.Contact Information
Primary practice address
2501 Paredes Line Rd Ste B3
Brownsville TX 78526-1195
Phone: (956) 542-9200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 20613 | Texas |
Profile Details
| NPI number | 1013025287 |
|---|---|
| LBN Legal business name | Martinez, Shelly Slovak |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1013025287 | NPPES |
| Texas | MEDICAID | 151128901 | |
| Texas | Other | B20613-1 | |
| Texas | Other | 36-4564648 | |
| Texas | MEDICAID | 151128902 | |
| Texas | MEDICAID | 172064101 |
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