Martin, James C

Martin, James C is an individual health care provider with primary practice located at 49310 Van Dyke Ave , Shelby Township MI 48317-1335. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Martin, James C can be contacted via phone (586) 731-8900.

Contact Information

Primary practice address
49310 Van Dyke Ave Shelby Township MI 48317-1335
Fax: (586) 731-7762
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101015387 Michigan

Profile Details

NPI number 1285653170
LBN Legal business name Martin, James C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Dec 22nd, 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 1285653170 NPPES
Michigan MEDICAID 4794907

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