Martonick, Gregory Joseph
Martonick, Gregory Joseph is an sole proprietor health care provider with primary practice located at 320 W Willow St Ste 6 , Walla Walla WA 99362-2922. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy, which is considered as his primary health care specialty. Martonick, Gregory Joseph can be contacted via phone (509) 525-4840.Contact Information
Primary practice address
320 W Willow St Ste 6
Walla Walla WA 99362-2922
Phone: (509) 525-4840
Fax: (509) 529-7355
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy | 207KA0200X | 252-09-0018690 | Washington |
Profile Details
| NPI number | 1689758195 |
|---|---|
| LBN Legal business name | Martonick, Gregory Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Jul 8th, 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 | 1689758195 | NPPES |
| Washington | MEDICAID | 1300342 | |
| Washington | Other | 0063736 |
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