Martin, Jeffrey W

Martin, Jeffrey W is an individual health care provider with primary practice located at 4921 Parkview Pl Ste 6A/6B/12A, Saint Louis MO 63110-1032. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Martin, Jeffrey W can be contacted via phone (314) 747-2500.

Contact Information

Primary practice address
4921 Parkview Pl Ste 6A/6B/12A Saint Louis MO 63110-1032
Phone: (314) 747-2500
Fax: (314) 747-2598
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X R1G57 Missouri

Profile Details

NPI number 1740273796
LBN Legal business name Martin, Jeffrey W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Jan 24th, 2018 - about 6 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 1740273796 NPPES
Illinois MEDICAID ENROLLED
Illinois MEDICAID 1740273796

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