Martin, Andrew

Martin, Andrew is an individual health care provider with primary practice located at 400 Legacy Plz W , La Porte IN 46350-5296. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Martin, Andrew can be contacted via phone (219) 379-3166.

Contact Information

Primary practice address
400 Legacy Plz W La Porte IN 46350-5296
Phone: (219) 379-3166
Fax: (219) 324-9730
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X MD470087 Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X 01085305A Indiana

Profile Details

NPI number 1720473358
LBN Legal business name Martin, Andrew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2015
Last updated Sep 14th, 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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