Martin, Bruce A

Martin, Bruce A is an individual health care provider with primary practice located at 370 Cline Ave Ste B3 , Mansfield OH 44907-1057. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Martin, Bruce A can be contacted via phone (419) 756-9995.

Contact Information

Primary practice address
370 Cline Ave Ste B3 Mansfield OH 44907-1057
Fax: (419) 756-9921
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 35053817 Ohio

Profile Details

NPI number 1457322141
LBN Legal business name Martin, Bruce A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2006
Last updated Mar 18th, 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 1457322141 NPPES
Ohio MEDICAID 0699589

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