Martin, David Wendell

Martin, David Wendell is an individual health care provider with primary practice located at 178 Douglas Parkway , Prestonsburg KY 41501-6970. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Martin, David Wendell can be contacted via phone (606) 639-3135.

Contact Information

Primary practice address
178 Douglas Parkway Prestonsburg KY 41501-6970
Phone: (606) 639-3135
Fax: (606) 639-3136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34359 Kentucky

Profile Details

NPI number 1619195864
LBN Legal business name Martin, David Wendell
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2007
Last updated Jul 15th, 2015 - about 9 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 1619195864 NPPES
Kentucky Other 000000523945 ANTHEM
Kentucky Other 1529561 ANTHEM
Kentucky Other 164138200 ANTHEM
Kentucky MEDICAID 64343593 ANTHEM
Kentucky Other 611330253 ANTHEM
Kentucky Other 000000042976 ANTHEM

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