National Provider Identifier Database

JIM C MARTINEZ, LAC – NPI #1740552272
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

JIM C MARTINEZ, LAC
4880 US HIGHWAY 93 S
KALISPELL, MT59901-7985
Phone: 406-857-2506
Fax: 406-857-2503
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for JIM C MARTINEZ

NPI Number 1740552272
Credentials LAC
Entity Individual
Enumeration date 01/30/2012
Last updated 01/30/2012 - About 14 years ago
Sole proprietor1 Yes
Identifiers
  • MT License #: 998
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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