Martin, James T

Martin, James T is an individual health care provider with primary practice located at 201 Woodcrest Dr , Beckley WV 25801-3633. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Martin, James T can be contacted via phone (304) 250-0272.

Contact Information

Primary practice address
201 Woodcrest Dr Beckley WV 25801-3633
Fax: (304) 250-0275
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12395 West Virginia

Profile Details

NPI number 1710070792
LBN Legal business name Martin, James T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 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 1710070792 NPPES
West Virginia MEDICAID 0052272000
West Virginia Other 288990
West Virginia MEDICAID A12395
West Virginia MEDICAID 55853
West Virginia Other E52170
West Virginia Other 205835

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