Burns, Martin Alan

Burns, Martin Alan is an individual health care provider with primary practice located at 3623 Latrobe Dr Suite 216, Charlotte NC 28211-1187. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Burns, Martin Alan can be contacted via phone (704) 332-1291.

Contact Information

Primary practice address
3623 Latrobe Dr Suite 216 Charlotte NC 28211-1187
Fax: (704) 332-5206
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 23335 South Carolina
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 35597 North Carolina
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35597 North Carolina

Profile Details

NPI number 1972587210
LBN Legal business name Burns, Martin Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Sep 13th, 2020 - about 4 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 1972587210 NPPES
North Carolina MEDICAID 8920043

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