Martin, Edward J

Martin, Edward J is an individual health care provider with primary practice located at 1141 Whitney Ave , Gretna LA 70056-5011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Martin, Edward J can be contacted via phone (504) 361-3757.

Contact Information

Primary practice address
1141 Whitney Ave Gretna LA 70056-5011
Fax: (504) 361-3132
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 018796 Louisiana

Profile Details

NPI number 1255367132
LBN Legal business name Martin, Edward J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jun 2nd, 2016 - 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 1255367132 NPPES
Louisiana MEDICAID 1922099

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