Ambrose, Martin P

Ambrose, Martin P is an individual health care provider with primary practice located at 3095 Dayton Xenia Rd Ste 900 , Beavercreek OH 45434-4305. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Ambrose, Martin P can be contacted via phone (937) 458-4010.

Contact Information

Primary practice address
3095 Dayton Xenia Rd Ste 900 Beavercreek OH 45434-4305
Phone: (937) 458-4010
Fax: (937) 458-4019
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 060025 Ohio
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 35.060025 Ohio
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 060025 Ohio

Profile Details

NPI number 1558389692
LBN Legal business name Ambrose, Martin P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Mar 19th, 2018 - about 6 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 1558389692 NPPES
Ohio MEDICAID 0790907

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