Martin, Irvin L.

Martin, Irvin L. is an individual health care provider with primary practice located at 1800 12Th St , Meridian MS 39301-4158. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Martin, Irvin L. can be contacted via phone (601) 703-9231.

Contact Information

Primary practice address
1800 12Th St Meridian MS 39301-4158
Phone: (601) 703-9231
Fax: (601) 703-4352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 12862 Mississippi
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 12862 Mississippi

Profile Details

NPI number 1447243472
LBN Legal business name Martin, Irvin L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Nov 7th, 2013 - about 11 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 1447243472 NPPES
Mississippi MEDICAID 00115751
Mississippi Other 200021882
Mississippi Other 009504900
Mississippi Other 73073633

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