Martin, Andrew D
Martin, Andrew D is an individual health care provider with primary practice located at 4650 Southwest Hwy , Oak Lawn IL 60453. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Martin, Andrew D can be contacted via phone (708) 424-3201.Contact Information
Primary practice address
4650 Southwest Hwy
Oak Lawn IL 60453
Phone: (708) 424-3201
Fax: (708) 424-5001
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 016005084 | Illinois |
Profile Details
| NPI number | 1720061179 |
|---|---|
| LBN Legal business name | Martin, Andrew D |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Jul 16th, 2008 - about 16 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 | 1720061179 | NPPES |
| Illinois | MEDICAID | 016-005084 | |
| Illinois | Other | 480034880 | |
| Illinois | Other | 7416406 |
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