Martin, Jacob Samuel

Martin, Jacob Samuel is an individual health care provider with primary practice located at 9000 W Wisconsin Ave , Milwaukee WI 53226-4874. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Martin, Jacob Samuel can be contacted via phone (414) 607-5280.

Contact Information

Primary practice address
9000 W Wisconsin Ave Milwaukee WI 53226-4874
Phone: (414) 607-5280
Fax: (414) 266-2027
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 72243 Wisconsin
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 72243 Wisconsin

Profile Details

NPI number 1447781265
LBN Legal business name Martin, Jacob Samuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2017
Last updated Mar 12th, 2024 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447781265 NPPES
Wisconsin MEDICAID 1447781265

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