1538280870 NPI number — JERRY W. MARTIN

Table of content: (NPI 1538280870)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538280870 NPI number — JERRY W. MARTIN

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
JERRY W. MARTIN
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
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:
1538280870
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 269
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WASHINGTON
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22747-0269
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
540-675-2950
Provider Business Mailing Address Fax Number:
540-675-3692

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
338 GAY STREET
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
WASHINGTON
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22747-0269
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-675-3316
Provider Business Practice Location Address Fax Number:
540-675-3692
Provider Enumeration Date:
04/03/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MARTIN
Authorized Official First Name:
JERRY
Authorized Official Middle Name:
W.
Authorized Official Title or Position:
PERMITTED DEPENSING PHHYSICIAN
Authorized Official Telephone Number:
540-675-3316

Provider Taxonomy Codes

  • Taxonomy code: 333600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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