Fialkov, Martin Jerome
Fialkov, Martin Jerome is an sole proprietor health care provider with primary practice located at 1201 63Rd St , Des Moines IA 50311-1943. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Fialkov, Martin Jerome can be contacted via phone (515) 225-6861.Contact Information
Primary practice address
1201 63Rd St
Des Moines IA 50311-1943
Phone: (515) 225-6861
Fax: (515) 225-6864
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 36314 | Iowa |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD024394E | Pennsylvania |
Profile Details
NPI number | 1629042288 |
---|---|
LBN Legal business name | Fialkov, Martin Jerome |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 13th, 2006 |
Last updated | Aug 11th, 2007 - about 17 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 | 1629042288 | NPPES |
Iowa | Other | 04327 | WELLMARK |
Iowa | Other | 248245 | WELLMARK |
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