Martin, Edward T

Martin, Edward T is an individual health care provider with primary practice located at 9228 S Mingo Rd Suite 200, Tulsa OK 74133-5718. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Martin, Edward T can be contacted via phone (918) 592-0999.

Contact Information

Primary practice address
9228 S Mingo Rd Suite 200 Tulsa OK 74133-5718
Phone: (918) 592-0999
Fax: (918) 878-2499
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 20675 Oklahoma
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 20675 Oklahoma

Profile Details

NPI number 1982674719
LBN Legal business name Martin, Edward T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Sep 15th, 2016 - about 8 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 1982674719 NPPES
Oklahoma MEDICAID 100028120A
Oklahoma Other 060049596
Oklahoma Other OK700124
Oklahoma Other P00613404

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