Martinson, Larry Gene

Martinson, Larry Gene is an individual health care provider with primary practice located at 201 E State St , Herkimer NY 13350-2389. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Martinson, Larry Gene can be contacted via phone (315) 574-2300.

Contact Information

Primary practice address
201 E State St Herkimer NY 13350-2389
Phone: (315) 574-2300
Fax: (315) 574-2310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1932182136
LBN Legal business name Martinson, Larry Gene
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Dec 6th, 2019 - about 7 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 1932182136 NPPES
New York MEDICAID 03798161

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