Martin, Elwood Ray
Martin, Elwood Ray is an individual health care provider with primary practice located at 335 Glessner Ave , Mansfield OH 44903-2269. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Martin, Elwood Ray can be contacted via phone (419) 522-2833.Contact Information
Primary practice address
335 Glessner Ave
Mansfield OH 44903-2269
Phone: (419) 522-2833
Fax: (419) 524-1619
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35-093726 | Ohio |
Profile Details
| NPI number | 1841477171 |
|---|---|
| LBN Legal business name | Martin, Elwood Ray |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2008 |
| Last updated | Jan 25th, 2022 - about 3 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 | 1841477171 | NPPES |
| Ohio | MEDICAID | 2985220 |
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