Martin, Dean Erwin
Martin, Dean Erwin is an individual health care provider with primary practice located at 550 S Peoria Ave , Tulsa OK 74120-3820. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Martin, Dean Erwin can be contacted via phone (918) 588-1900.Contact Information
Primary practice address
550 S Peoria Ave
Tulsa OK 74120-3820
Phone: (918) 588-1900
Fax: (918) 382-1242
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 13789 | Oklahoma |
Profile Details
| NPI number | 1154338549 |
|---|---|
| LBN Legal business name | Martin, Dean Erwin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jun 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 | 1154338549 | NPPES |
| Oklahoma | MEDICAID | 100123800-A | |
| Oklahoma | Other | 73-1042545 | |
| Oklahoma | Other | 73-1042545 | |
| Oklahoma | Other | 100732910 | |
| Oklahoma | Other | 73-1042545 | |
| Oklahoma | Other | 73-1042545 |
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