Martin, Craig M

Martin, Craig M is an individual health care provider with primary practice located at 1622 Westgate Cir , Brentwood TN 37027-8019. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Martin, Craig M can be contacted via phone (296) 255-2092.

Contact Information

Primary practice address
1622 Westgate Cir Brentwood TN 37027-8019
Fax: (629) 255-4124
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 48658 Tennessee

Profile Details

NPI number 1437170974
LBN Legal business name Martin, Craig M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Feb 21st, 2019 - about 5 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 1437170974 NPPES
Tennessee MEDICAID 1528556

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