Nicholson, Martina

Nicholson, Martina is an individual health care provider with primary practice located at 1661 Soquel Dr Suite A, Santa Cruz CA 95065-1787. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Nicholson, Martina can be contacted via phone (831) 476-7676.

Contact Information

Primary practice address
1661 Soquel Dr Suite A Santa Cruz CA 95065-1787
Phone: (831) 476-7676
Fax: (831) 476-4824
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X BN1176165 California

Profile Details

NPI number 1144381815
LBN Legal business name Nicholson, Martina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Mar 7th, 2023 - about 3 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 1144381815 NPPES
California MEDICAID 00G358690

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