MEDICARE: ROBERT P. MARTINI JR, D.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC005430L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	POO268769	OTHER	PA	GROUP RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730132671
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT P. MARTINI JR, D.C.

Provider Business Mailing Address
First Line	:	1243 SKYTOP MOUNTAIN RD
Second Line	:	SUITE1
City	:	PORT MATILDA
State	:	PA
Zip	:	16870-7719
Country	:	US
Telephone Number	:	814-238-6300
Fax Number	:	814-238-0976

Provider Business Practice Location Address
First Line	:	1243 SKYTOP MOUNTAIN RD
Second Line	:	SUITE1
City	:	PORT MATILDA
State	:	PA
Zip	:	16870-7719
Country	:	US
Telephone Number	:	814-238-6300
Fax Number	:	814-238-0976

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROBERT P MARTINI JR.
Credential	:	D.O.
Telephone Number	:	814-238-6300

Provider Enumeration Date	:	05/19/2006
Last Update Date	:	08/22/2020

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