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
Phone: (618) 457-3006
Fax: (618) 457-3008
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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