Kreshon, Martin John
Kreshon, Martin John is an individual health care provider with primary practice located at 1640 E Roosevelt Blvd , Monroe NC 28112-4017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kreshon, Martin John can be contacted via phone (704) 226-0599.Contact Information
Primary practice address
1640 E Roosevelt Blvd
Monroe NC 28112-4017
Phone: (704) 226-0599
Fax: (704) 226-0599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 34065 | North Carolina |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 19297 | South Carolina |
Profile Details
| NPI number | 1285671735 |
|---|---|
| LBN Legal business name | Kreshon, Martin John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Oct 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285671735 | NPPES |
| North Carolina | Other | 5031B | BCBS |
| North Carolina | Other | P00612427 | BCBS |
| North Carolina | Other | P00728483 | BCBS |
| North Carolina | MEDICAID | N34065 | BCBS |
| North Carolina | MEDICAID | 895031B | BCBS |
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