Martin, George M

Martin, George M is an sole proprietor health care provider with primary practice located at 161 Wailea Ike Pl Ste A104 , Kihei HI 96753-6502. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Martin, George M can be contacted via phone (808) 875-0511.

Contact Information

Primary practice address
161 Wailea Ike Pl Ste A104 Kihei HI 96753-6502
Fax: (808) 875-8595
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD6819 Hawaii
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X MD6819 Hawaii

Profile Details

NPI number 1134147994
LBN Legal business name Martin, George M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Jun 12th, 2023 - about last year

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 1134147994 NPPES
Hawaii MEDICAID 529216

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