Martin, Eric

Martin, Eric is an individual health care provider with primary practice located at 2900 Doctors Park Dr Suite 100, Medford OR 97504-8198. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Martin, Eric can be contacted via phone (541) 772-6600.

Contact Information

Primary practice address
2900 Doctors Park Dr Suite 100 Medford OR 97504-8198
Phone: (541) 772-6600
Fax: (541) 842-9618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD18457 Oregon

Profile Details

NPI number 1760587372
LBN Legal business name Martin, Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Feb 23rd, 2017 - about 7 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 1760587372 NPPES
Oregon Other 001930001 BLUE CROSS BLUE SHIELD ID
Oregon MEDICAID 18457 BLUE CROSS BLUE SHIELD ID

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