Allen, Martin Augustus

Allen, Martin Augustus is an individual health care provider with primary practice located at 10110 Clemson Blvd , Seneca SC 29678-0812. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Allen, Martin Augustus can be contacted via phone (864) 482-3148.

Contact Information

Primary practice address
10110 Clemson Blvd Seneca SC 29678-0812
Fax: (864) 482-0505
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 36847 South Carolina
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 36640 North Carolina

Profile Details

NPI number 1033199831
LBN Legal business name Allen, Martin Augustus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Jun 30th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033199831 NPPES
North Carolina Other 0701372 UNITED HEALTHCARE
North Carolina Other 10901 UNITED HEALTHCARE
North Carolina Other 4120 UNITED HEALTHCARE
North Carolina MEDICAID 368471 UNITED HEALTHCARE
North Carolina MEDICAID 8910901 UNITED HEALTHCARE

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