Provider Demographics
NPI:1306625009
Name:MARTIN, JOSEPH B
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:B
Last Name:MARTIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:JOE
Other - Middle Name:
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2631 POWHATTAN PKWY
Mailing Address - Street 2:TOLEDO, OH 43606
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-3732
Mailing Address - Country:US
Mailing Address - Phone:419-214-7906
Mailing Address - Fax:
Practice Address - Street 1:2631 POWHATTAN PKWY
Practice Address - Street 2:TOLEDO, OH 43606
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-3732
Practice Address - Country:US
Practice Address - Phone:419-214-7906
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-22
Last Update Date:2023-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)