Dillow, Martin Wayne
Dillow, Martin Wayne is an individual health care provider with primary practice located at 505 S Plummer Ave , Chanute KS 66720-1950. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Dillow, Martin Wayne can be contacted via phone (620) 431-2500.Contact Information
Primary practice address
505 S Plummer Ave
Chanute KS 66720-1950
Phone: (620) 431-2500
Fax: (620) 431-4418
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 0432247 | Kansas |
Profile Details
| NPI number | 1073730867 |
|---|---|
| LBN Legal business name | Dillow, Martin Wayne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2007 |
| Last updated | Aug 3rd, 2011 - about 14 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 | 1073730867 | NPPES |
| Kansas | MEDICAID | 200541180A |
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