Martin, David John

Martin, David John is an individual health care provider with primary practice located at 4415 Sonoma Hwy Suite A, Santa Rosa CA 95409-7100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Martin, David John can be contacted via phone (707) 537-2070.

Contact Information

Primary practice address
4415 Sonoma Hwy Suite A Santa Rosa CA 95409-7100
Phone: (707) 537-2070
Fax: (707) 537-9696
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X A82729 California

Profile Details

NPI number 1225036320
LBN Legal business name Martin, David John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jul 23rd, 2007 - about 17 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 1225036320 NPPES
California MEDICAID GR0067920
California Other P00051386

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