Martin, Alan

Martin, Alan is an individual health care provider with primary practice located at 4812 S 109Th East Ave Ste. 200, Tulsa OK 74146-5822. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Martin, Alan can be contacted via phone (918) 236-4567.

Contact Information

Primary practice address
4812 S 109Th East Ave Ste. 200 Tulsa OK 74146-5822
Phone: (918) 236-4567
Fax: (918) 236-4578
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 17339 Oklahoma

Profile Details

NPI number 1083677017
LBN Legal business name Martin, Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Feb 9th, 2017 - about 8 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 1083677017 NPPES
Oklahoma MEDICAID 100128830A

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