Martin, Coleman O

Martin, Coleman O is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242-1009. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Vascular Neurology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Martin, Coleman O can be contacted via phone (319) 356-8755.

Contact Information

Primary practice address
200 Hawkins Dr Iowa City IA 52242-1009
Phone: (319) 356-8755
Fax: (319) 356-4505
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 33559 Iowa
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X 33559 Iowa
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 33559 Iowa

Profile Details

NPI number 1841282043
LBN Legal business name Martin, Coleman O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Dec 12th, 2007 - about 17 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 1841282043 NPPES
Iowa Other 20021 WELLMARK BCBS
Iowa MEDICAID 0215111 WELLMARK BCBS

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