Martie M Coblentz in Grand Ronde - Contractor
Martie M Coblentz - NPI 1477720365
Martie M Coblentz is a Contractor in Grand Ronde, Oregon. Martie M Coblentz practices all healthcare services and medical treatments related to Contractor. The NPI Number for Martie M Coblentz is 1477720365. The last update date is 2008-05-11.
Martie M Coblentz's current location address is 27725 Jahn Rd, Grand Ronde, Oregon. You can contact this provider via phone number 5035109110 and fax number 5038795931. The mailing address for Martie M Coblentz is 27725 Jahn Rd, Grand Ronde, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martie M Coblentz |
|---|---|
| Address | 27725 Jahn Rd, Grand Ronde, Oregon |
| Phone Number | 5035109110 |
| Fax Number | 5038795931 |
| Sole Proprietor | Y |
| Credentials | LMT |
NPI Number Detail
| NPI Number | 1477720365 |
|---|---|
| Provider Enumeration Date | 2008-05-11 |
| Last Updated Date | 2008-05-11 |
Provider Mailing Address Detail
| Address | 27725 Jahn Rd |
|---|---|
| City | Grand Ronde |
| State | Oregon (OR) |
| Post Code | 973479735 |
| Phone Number | 5035109110 |
| Fax Number | 5038795931 |
Provider's Primary Taxonomy Detail
| Speciality | Contractor |
|---|---|
| Taxonomy | 171W00000X |
| Licence No | OR 12030 |
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Definition: A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or m |
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What is the unique 10-digit identifier code issued to Martie M Coblentz by the Centers for Medicare & Medicaid Services?
The Martie M Coblentz has been assigned the NPI (National Provider Identifier) 1477720365 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Martie M Coblentz?
The Martie M Coblentz is situated at 27725 Jahn Rd, in the city of Grand Ronde, state of OR, with the zip code 973479735.
What is Martie M Coblentz's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Martie M Coblentz is Contractor, and the taxonomy code that classifies this field of practice is 171W00000X.
On what date did the Martie M Coblentz receive its 1477720365 assignment from the Centers for Medicare & Medicaid Services?
The Martie M Coblentz was assigned its 1477720365 by the Centers for Medicare & Medicaid Services on 2008-05-11.
As of what date were the Martie M Coblentz's details last updated?
The information pertaining to the Martie M Coblentz, including its address, specialty, and other details, was most recently updated on 2008-05-11.