Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JIM CHRISTOPHER MARTINEZ, LAC
Active Sole ProprietorMR. JIM CHRISTOPHER MARTINEZ, LAC is a Substance Abuse Rehabilitation Facility healthcare provider located in KALISPELL, Montana. NPI 1740552272 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · KALISPELL, MT
Registration Details
- NPI Number
- 1740552272
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2012 (14.570396589391 yrs)
- Last Updated
- Jan 30, 2012
- License
-
998 (MT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4880 US HIGHWAY 93 SKALISPELL, MT, 599017985Browse MT providers · Browse ZIP 59901
- Phone
- 4068572506
- Fax
- 4068572503
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.