Craig Joseph Martin in St. Cloud - Clinical
Craig Joseph Martin - NPI 1417111279
Craig Joseph Martin is a Clinical in St. Cloud, Minnesota. Craig Joseph Martin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Craig Joseph Martin is 1417111279. The last update date is 2008-11-12.
Craig Joseph Martin's current location address is 1406 6th Avenue North, St. Cloud, Minnesota. You can contact this provider via phone number 3202512700 and fax number 3202295109. The mailing address for Craig Joseph Martin is 1406 6th Avenue North, St. Cloud, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig Joseph Martin |
|---|---|
| Address | 1406 6th Avenue North, St. Cloud, Minnesota |
| Phone Number | 3202512700 |
| Fax Number | 3202295109 |
| Sole Proprietor | N |
| Credentials | MSW, LICSW |
NPI Number Detail
| NPI Number | 1417111279 |
|---|---|
| Provider Enumeration Date | 2008-07-10 |
| Last Updated Date | 2008-11-12 |
Provider Mailing Address Detail
| Address | 1406 6th Avenue North |
|---|---|
| City | St. Cloud |
| State | Minnesota (MN) |
| Post Code | 56303 |
| Phone Number | 3202512700 |
| Fax Number | 3202295109 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 17058 |
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Post Comment/ Review Below
What is the unique identifier code issued to Craig Joseph Martin by the Centers for Medicare & Medicaid Services?
The Craig Joseph Martin has been assigned the NPI (National Provider Identifier) 1417111279. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Craig Joseph Martin is geographically located?
The Craig Joseph Martin is physically situated at the following location: 1406 6Th Avenue North, St. Cloud, MN, 56303.
What is the area of specialization for Craig Joseph Martin, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Craig Joseph Martin is Clinical, and the corresponding taxonomy code that categorizes this area of expertise is 1041C0700X.
On what date did Craig Joseph Martin receive its 1417111279 assignment from the Centers for Medicare & Medicaid Services?
The Craig Joseph Martin was assigned its 1417111279 on 2008-07-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Craig Joseph Martin most recently updated or revised?
The details related to Craig Joseph Martin, including its address, specialty, and other relevant information, were last updated or revised on 2008-11-12.