Martini, Dana Lynn
Martini, Dana Lynn is an individual health care provider with primary practice located at 1100 Blythe Blvd , Charlotte NC 28203. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Martini, Dana Lynn can be contacted via phone (704) 355-9047.Contact Information
Primary practice address
1100 Blythe Blvd
Charlotte NC 28203
Phone: (704) 355-9047
Fax: (704) 355-9458
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | OS012401 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 2012-01403 | North Carolina |
Profile Details
| NPI number | 1518952886 |
|---|---|
| LBN Legal business name | Martini, Dana Lynn |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Nov 23rd, 2016 - about 10 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 | 1518952886 | NPPES |
| North Carolina | MEDICAID | 1518952886 | |
| North Carolina | MEDICAID | NC1706 | |
| North Carolina | MEDICAID | 5921726 |
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