Individual
JOSHUA MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1441 E 84TH PL, MERRILLVILLE, IN 46410-6578
(219) 627-2618
Mailing address
1441 E 84TH PL, MERRILLVILLE, IN 46410-6578
(219) 769-4005
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/08/2024
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