Martin, Ian Porter

Martin, Ian Porter is an sole proprietor health care provider with primary practice located at 820 N Chelan Ave , Wenatchee WA 98801-2028. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Martin, Ian Porter can be contacted via phone (509) 663-8711.

Contact Information

Primary practice address
820 N Chelan Ave Wenatchee WA 98801-2028
Phone: (509) 663-8711
Fax: (509) 665-5876
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD60132722 Washington
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD60132722 Washington

Profile Details

NPI number 1639377351
LBN Legal business name Martin, Ian Porter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2007
Last updated Nov 11th, 2020 - about 4 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 1639377351 NPPES
Washington MEDICAID 2008451
Washington Other 0264973

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