Martin, Colin Alex

Martin, Colin Alex is an individual health care provider with primary practice located at 1 Childrens Pl Div Surg Ped, Ste 2A, Saint Louis MO 63110-1002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Martin, Colin Alex can be contacted via phone (314) 454-6022.

Contact Information

Primary practice address
1 Childrens Pl Div Surg Ped, Ste 2A Saint Louis MO 63110-1002
Phone: (314) 454-6022
Fax: (866) 422-8308
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 2023034985 Missouri
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 2023034985 Missouri

Profile Details

NPI number 1881897726
LBN Legal business name Martin, Colin Alex
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Apr 25th, 2024 - about 8 months 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 1881897726 NPPES
Missouri MEDICAID 200130074

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