Martin, Adrian P

Martin, Adrian P is an individual health care provider with primary practice located at 305 W Jackson St Ste 206 , Carbondale IL 62901-1474. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Martin, Adrian P can be contacted via phone (618) 457-3006.

Contact Information

Primary practice address
305 W Jackson St Ste 206 Carbondale IL 62901-1474
Fax: (618) 457-3008
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036-115702 Illinois

Profile Details

NPI number 1568531010
LBN Legal business name Martin, Adrian P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated May 11th, 2021 - 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 1568531010 NPPES
Illinois Other 120857 HEALTH ALLIANCE
Illinois Other 324137 HEALTH ALLIANCE
Illinois MEDICAID 036115702 HEALTH ALLIANCE
Illinois Other 3932056 HEALTH ALLIANCE
Illinois Other 7210895 HEALTH ALLIANCE
Illinois Other 294010 HEALTH ALLIANCE

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