National Provider Identifier Database

MARTIN SUPPORTIVE SERVICES
Voluntary or Charitable


Contact Information

MARTIN SUPPORTIVE SERVICES
202 N CEDAR AVE STE 1
OWATONNA, MN55060-2306
Phone: 302-213-9652
Fax:
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for MARTIN SUPPORTIVE SERVICES

NPI Number 1659103935
Legal business name
LBN
MARTIN SUPPORTIVE SERVICES
Authorized official DEREK MARTIN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 08/15/2024
Last updated 08/15/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers 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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