1699762567 NPI number — DR. JESSE MARTINEZ D.O.

Table of content: DR. JESSE MARTINEZ D.O. (NPI 1699762567)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699762567 NPI number — DR. JESSE MARTINEZ D.O.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MARTINEZ
Provider First Name:
JESSE
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.O.
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:
1699762567
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
01/08/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
23900 ORCHARD LAKE RD
Provider Second Line Business Mailing Address:
STE 150
Provider Business Mailing Address City Name:
FARMINGTON HILLS
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48336-2500
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-234-8690
Provider Business Mailing Address Fax Number:
248-234-8690

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9377 N HAGGERTY RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PLYMOUTH
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48170-4622
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
734-451-0070
Provider Business Practice Location Address Fax Number:
734-451-1583
Provider Enumeration Date:
10/05/2005

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: 207R00000X , with the licence number:  5101012766 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 4166042-11 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4387007-11 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".