Martin, David A
Martin, David A is an individual health care provider with primary practice located at 3025 Fountain Dr Suite 100, Conway AR 72034-3684. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Martin, David A can be contacted via phone (501) 932-5060.Contact Information
Primary practice address
3025 Fountain Dr Suite 100
Conway AR 72034-3684
Phone: (501) 932-5060
Fax: (501) 552-5330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C6441 | Arkansas |
Profile Details
| NPI number | 1700863891 |
|---|---|
| LBN Legal business name | Martin, David A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Dec 14th, 2012 - about 12 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 | 1700863891 | NPPES |
| Arkansas | MEDICAID | 112251001 |
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