Sobieraj, Martin
Sobieraj, Martin is an individual health care provider with primary practice located at 815 E Juan Sanchez Blvd , San Luis AZ 85349-2017. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Sobieraj, Martin can be contacted via phone (928) 627-8584.Contact Information
Primary practice address
815 E Juan Sanchez Blvd
San Luis AZ 85349-2017
Phone: (928) 627-8584
Fax: (928) 627-8949
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 6664867-9921 | Utah |
| Dental Providers / General Practice | 1223G0001X | D7393 | Arizona |
Profile Details
| NPI number | 1851591705 |
|---|---|
| LBN Legal business name | Sobieraj, Martin |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2007 |
| Last updated | Mar 9th, 2016 - about 10 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 | 1851591705 | NPPES |
| Arizona | MEDICAID | 232643 |
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