MARY M. MARTINEAU NPI 1467830919

NPI Information

NPI: 1467830919
Provider Name: MARY M. MARTINEAU
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
335 E 2ND AVE APT A
SALT LAKE CITY, UT
ZIP 84103
Phone: (801) 425-4187
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MARY M. MARTINEAU is a primary care clinic center in Salt Lake City, UT. MARY M. MARTINEAU NPI is 1467830919. The provider is registered as an organization entity type.

The provider's business location address is:

335 E 2ND AVE APT A
SALT LAKE CITY, UT
ZIP 84103-626
Phone: (801) 425-4187

The provider's authorized official is Mary M Martineau .
The authorized official title is Social Worker and has the following contact phone number (801) 425-4187.

The enumeration date for this NPI number is 5/15/2015 and was last updated on 5/15/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care	8394257-3501	UTAH	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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