Martin, Elmer
Martin, Elmer is an individual health care provider with primary practice located at 1401 Madison Ave , Covington KY 41011-3313. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Martin, Elmer can be contacted via phone (859) 655-6100.Contact Information
Primary practice address
1401 Madison Ave
Covington KY 41011-3313
Phone: (859) 655-6100
Fax: (859) 655-6179
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 29847 | Kentucky |
Profile Details
| NPI number | 1801895289 |
|---|---|
| LBN Legal business name | Martin, Elmer |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 19th, 2005 |
| Last updated | Apr 3rd, 2021 - about 4 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 | 1801895289 | NPPES |
| Kentucky | MEDICAID | 64084916 |
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