Martino, Michael John

Martino, Michael John is an individual health care provider with primary practice located at 1145 Reservoir Ave , Cranston RI 02920-6055. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Martino, Michael John can be contacted via phone (401) 942-6500.

Contact Information

Primary practice address
1145 Reservoir Ave Cranston RI 02920-6055
Phone: (401) 942-6500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0144 Rhode Island

Profile Details

NPI number 1275507147
LBN Legal business name Martino, Michael John
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Oct 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275507147 NPPES
Rhode Island MEDICAID 1275507

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