Martin, Heather M

Martin, Heather M is an individual health care provider with primary practice located at 102 S Charles G Seivers Blvd , Clinton TN 37716-3916. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Martin, Heather M can be contacted via phone (865) 457-4702.

Contact Information

Primary practice address
102 S Charles G Seivers Blvd Clinton TN 37716-3916
Phone: (865) 457-4702
Fax: (865) 457-7178
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 3334 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1073 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12480 North Dakota
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 003877 Georgia

Profile Details

NPI number 1760610638
LBN Legal business name Martin, Heather M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2009
Last updated Aug 15th, 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 1760610638 NPPES
North Dakota MEDICAID 17482
North Dakota MEDICAID Q033050

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