Martini, John A

Martini, John A is an individual health care provider with primary practice located at 6308 8Th Ave , Kenosha WI 53143-5031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Martini, John A can be contacted via phone (262) 656-3172.

Contact Information

Primary practice address
6308 8Th Ave Kenosha WI 53143-5031
Phone: (262) 656-3172
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25991 Wisconsin

Profile Details

NPI number 1033119276
LBN Legal business name Martini, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated Jan 3rd, 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 1033119276 NPPES
Wisconsin MEDICAID 30593800

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