Martin, Adam Samuel

Martin, Adam Samuel is an sole proprietor health care provider with primary practice located at 700 S Park St , Madison WI 53715-1830. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Martin, Adam Samuel can be contacted via phone (608) 251-6100.

Contact Information

Primary practice address
700 S Park St Madison WI 53715-1830
Phone: (608) 251-6100
Fax: (608) 260-2976
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 48839 Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X TP752 Kentucky
Allopathic & Osteopathic Physicians / Surgery 208600000X 89956 Ohio
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 73750 Wisconsin

Profile Details

NPI number 1609074160
LBN Legal business name Martin, Adam Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 6th, 2007
Last updated Dec 28th, 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 1609074160 NPPES
Ohio MEDICAID 2806539
Ohio MEDICAID 7100390250

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