Martin, Fredrick Allan

Martin, Fredrick Allan is an individual health care provider with primary practice located at 813 Founders Park Dr E Ste 107 , Springdale AR 72762-6321. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Martin, Fredrick Allan can be contacted via phone (479) 463-6600.

Contact Information

Primary practice address
813 Founders Park Dr E Ste 107 Springdale AR 72762-6321
Phone: (479) 463-6600
Fax: (479) 463-6624
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C-6262 Arkansas
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X C6262 Arkansas

Profile Details

NPI number 1407815467
LBN Legal business name Martin, Fredrick Allan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Sep 22nd, 2023 - about 2 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 1407815467 NPPES
Arkansas MEDICAID 116105001

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