Martin, Andrew S

Martin, Andrew S is an individual health care provider with primary practice located at 5546 S Fort Apache Rd Suite 100, Las Vegas NV 89148-7692. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Martin, Andrew S can be contacted via phone (702) 898-2663.

Contact Information

Primary practice address
5546 S Fort Apache Rd Suite 100 Las Vegas NV 89148-7692
Phone: (702) 898-2663
Fax: (702) 304-2663
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 11416 Nevada
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 11416 Nevada

Profile Details

NPI number 1417007345
LBN Legal business name Martin, Andrew S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Jan 26th, 2015 - about 10 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 1417007345 NPPES
Nevada MEDICAID 405411300

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