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
Phone: (808) 875-0511
Fax: (808) 875-8595
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134147994 | NPPES |
Hawaii | MEDICAID | 529216 |
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