Bomalaski, Martin David
Bomalaski, Martin David is an individual health care provider with primary practice located at 3841 Piper St Suite T300, Anchorage AK 99508-4624. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bomalaski, Martin David can be contacted via phone (907) 563-3103.Contact Information
Primary practice address
3841 Piper St Suite T300
Anchorage AK 99508-4624
Phone: (907) 563-3103
Fax: (907) 561-1862
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 5610 | Alaska |
Profile Details
| NPI number | 1982683504 |
|---|---|
| LBN Legal business name | Bomalaski, Martin David |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2006 |
| Last updated | Dec 20th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982683504 | NPPES |
| Alaska | MEDICAID | MD12491 |
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