Marvin R Martine in Sanders - Addiction (substance Use Disorder)
Marvin R Martine - NPI 1104037803
Marvin R Martine is a Addiction (substance Use Disorder) in Sanders, Arizona. Marvin R Martine practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Marvin R Martine is 1104037803. The last update date is 2007-07-08.
Marvin R Martine's current location address is Po Box 1086, Sanders, Arizona. You can contact this provider via phone number 9286883475 and fax number 9286883478. The mailing address for Marvin R Martine is Po Box 1086, Sanders, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marvin R Martine |
|---|---|
| Address | Po Box 1086, Sanders, Arizona |
| Phone Number | 9286883475 |
| Fax Number | 9286883478 |
| Sole Proprietor | N |
| Credentials | LISAC |
NPI Number Detail
| NPI Number | 1104037803 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 1086 |
|---|---|
| City | Sanders |
| State | Arizona (AZ) |
| Post Code | 865121086 |
| Phone Number | 9286883475 |
| Fax Number | 9286883478 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 11363 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
|
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Marvin R Martine by the Centers for Medicare & Medicaid Services?
The Marvin R Martine has been assigned the NPI (National Provider Identifier) 1104037803 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Marvin R Martine's facilities are situated?
The facilities of Marvin R Martine are physically located at the following address: Po Box 1086, Sanders, AZ, 865121086.
What is the Marvin R Martine's specialty and taxonomy code?
The Marvin R Martine's specialty is Addiction (substance Use Disorder), and the corresponding taxonomy code is 101Ya0400X.
When did Marvin R Martine receive its 1104037803 assignment?
The Marvin R Martine was assigned its 1104037803 on 2007-05-24, which is the date when this unique identifier was issued to the organization.
As of what date were the Marvin R Martine's details last updated?
The information pertaining to the Marvin R Martine, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA