Martin, Chris John
Martin, Chris John is an sole proprietor health care provider with primary practice located at 1601 E Broadway #200, Columbia MO 65201-8020. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Martin, Chris John can be contacted via phone (573) 441-2330.Contact Information
Primary practice address
1601 E Broadway #200
Columbia MO 65201-8020
Phone: (573) 441-2330
Fax: (573) 875-1359
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MOR6J89 | Missouri |
Profile Details
| NPI number | 1114910817 |
|---|---|
| LBN Legal business name | Martin, Chris John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Feb 25th, 2010 - about 15 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 | 1114910817 | NPPES |
| Missouri | MEDICAID | 202643607 |
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