Individual
JACOB MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
55 FRUIT ST # 1500, BOSTON, MA 02114-2696
(401) 269-1169
Mailing address
55 FRUIT ST # 1500, BOSTON, MA 02114-2696
(401) 269-1169
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA102472
MA
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/30/2024
Last updated
02/02/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us