Martin, Gregory Blain
Martin, Gregory Blain is an individual health care provider with primary practice located at 501 E Hampden Ave , Englewood CO 80113-2702. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Martin, Gregory Blain can be contacted via phone (303) 761-9190.Contact Information
Primary practice address
501 E Hampden Ave
Englewood CO 80113-2702
Phone: (303) 761-9190
Fax: (720) 874-4462
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD18497 | Hawaii |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 56120 | Colorado |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 28911 | Nebraska |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 73301 | Colorado |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 7465134-1205 | Utah |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 04-38620 | Kansas |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 7465134-1205 | Utah |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | DR.0056120 | Colorado |
Profile Details
| NPI number | 1457529927 |
|---|---|
| LBN Legal business name | Martin, Gregory Blain |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 18th, 2008 |
| Last updated | Mar 29th, 2024 - about 6 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457529927 | NPPES |
| Kansas | MEDICAID | 201127660A | |
| Kansas | Other | 5033909 | |
| Kansas | MEDICAID | 72231033 | |
| Kansas | Other | P01180703 | |
| Kansas | MEDICAID | 091605 | |
| Kansas | Other | 1457529927 | |
| Kansas | MEDICAID | 1457529927 | |
| Kansas | Other | 107120143101 | |
| Kansas | Other | 1137619 | |
| Kansas | Other | 1457529927 | |
| Kansas | Other | 10000009363001 | |
| Kansas | Other | 145450 | |
| Kansas | MEDICAID | 1457529927 | |
| Kansas | MEDICAID | 1457529927 | |
| Kansas | MEDICAID | 1457529927 | |
| Kansas | MEDICAID | 20062369A | |
| Kansas | MEDICAID | 81700059 |
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