1043515299 NPI number — MR. NATHANIEL HOWARD MARTELLE CMT

Table of content: MR. NATHANIEL HOWARD MARTELLE CMT (NPI 1043515299)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043515299 NPI number — MR. NATHANIEL HOWARD MARTELLE CMT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MARTELLE
Provider First Name:
NATHANIEL
Provider Middle Name:
HOWARD
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
CMT
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043515299
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/12/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3450 PALMER DR STE A-299
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CAMERON PARK
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95682-8253
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
530-387-7917
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3888 DE SABLA RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CAMERON PARK
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95682-8605
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-387-7917
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/19/2011

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225700000X , with the licence number:  CMT , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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