Martin, Dan
Martin, Dan is an sole proprietor health care provider with primary practice located at 476 Hospital Dr , Camden AR 71701-4616. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Martin, Dan can be contacted via phone (870) 836-6627.Contact Information
Primary practice address
476 Hospital Dr
Camden AR 71701-4616
Phone: (870) 836-6627
Fax: (870) 836-7825
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | C5604 | Arkansas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | C5604 | Arkansas |
Profile Details
| NPI number | 1508863267 |
|---|---|
| LBN Legal business name | Martin, Dan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Jan 16th, 2015 - about 10 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 | 1508863267 | NPPES |
| Arkansas | Other | 53316 | PTAN |
| Arkansas | MEDICAID | 103662001 | PTAN |
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