Smietanka, Martin A
Smietanka, Martin A is an individual health care provider with primary practice located at 2211 W Magnolia Blvd 120, Burbank CA 91506-1753. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Smietanka, Martin A can be contacted via phone (818) 955-5773.Contact Information
Primary practice address
2211 W Magnolia Blvd 120
Burbank CA 91506-1753
Phone: (818) 955-5773
Fax: (818) 955-5181
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A40178 | California |
Profile Details
| NPI number | 1295737252 |
|---|---|
| LBN Legal business name | Smietanka, Martin A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 2nd, 2005 |
| Last updated | Feb 12th, 2013 - about 13 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 | 1295737252 | NPPES |
| California | MEDICAID | 00A401780 |
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