Martin, Garrett R

Martin, Garrett R is an individual health care provider with primary practice located at 78 Ridgewood Dr , Bangor ME 04401-2652. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Martin, Garrett R can be contacted via phone (207) 307-8902.

Contact Information

Primary practice address
78 Ridgewood Dr Bangor ME 04401-2652
Phone: (207) 307-8902
Fax: (207) 307-8912
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 010448 Maine

Profile Details

NPI number 1669476438
LBN Legal business name Martin, Garrett R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jul 16th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669476438 NPPES
Other 00304 ANTHEM
Other 09-04049 ANTHEM
Other 1042007 ANTHEM
MEDICAID 244700099 ANTHEM
Other 200009585 ANTHEM
Other D03964 ANTHEM
Other M53271 ANTHEM

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