Martin, James A

Martin, James A is an individual health care provider with primary practice located at 102 N Adelaide St , Fenton MI 48430-2670. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Martin, James A can be contacted via phone (810) 629-2245.

Contact Information

Primary practice address
102 N Adelaide St Fenton MI 48430-2670
Fax: (810) 629-6535
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301022219 Michigan

Profile Details

NPI number 1841260817
LBN Legal business name Martin, James A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Jul 9th, 2007 - about 18 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 1841260817 NPPES
Michigan MEDICAID 1116870
Michigan Other 0255600
Michigan Other 0856001
Michigan Other C2331
Michigan Other 1002568

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