Deafenbaugh, Martin Keith

Deafenbaugh, Martin Keith is an individual health care provider with primary practice located at 9506 Hospital Ave , Nassawadox VA 23413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Deafenbaugh, Martin Keith can be contacted via phone (757) 414-8333.

Contact Information

Primary practice address
9506 Hospital Ave Nassawadox VA 23413
Phone: (757) 414-8333
Fax: (757) 414-8338
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 01061605A Indiana
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0101042342 Virginia

Profile Details

NPI number 1790764918
LBN Legal business name Deafenbaugh, Martin Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Oct 4th, 2013 - about 12 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 1790764918 NPPES
Virginia MEDICAID 1790764918

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