Martin, David E

Martin, David E is an individual health care provider with primary practice located at 1722 Shaffer St Suite 2, Kalamazoo MI 49048-1633. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Martin, David E can be contacted via phone (269) 343-1555.

Contact Information

Primary practice address
1722 Shaffer St Suite 2 Kalamazoo MI 49048-1633
Phone: (269) 343-1555
Fax: (269) 343-3209
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 4301044228 Michigan

Profile Details

NPI number 1750346888
LBN Legal business name Martin, David E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Feb 2nd, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750346888 NPPES
Michigan MEDICAID 103282510

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