Martin, Amanda Deann

Martin, Amanda Deann is an individual health care provider with primary practice located at 2004 Hayes St Ste 200 , Nashville TN 37203-2689. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is her primary health care specialty. Martin, Amanda Deann can be contacted via phone (615) 324-1600.

Contact Information

Primary practice address
2004 Hayes St Ste 200 Nashville TN 37203-2689
Phone: (615) 324-1600
Fax: (615) 324-1661
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 2782 Tennessee
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X DO1125 Alabama
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 5695 Oklahoma
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 5695 Oklahoma

Profile Details

NPI number 1134324825
LBN Legal business name Martin, Amanda Deann
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2007
Last updated Feb 11th, 2021 - about 3 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 1134324825 NPPES
Oklahoma MEDICAID 200583770A
Oklahoma MEDICAID 1134324825

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