Martin, John R

Martin, John R is an individual health care provider with primary practice located at Pmg Emergency Medicine 1101 Central Se, Albuquerque NM 87106. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Martin, John R can be contacted via phone (505) 841-1125.

Contact Information

Primary practice address
Pmg Emergency Medicine 1101 Central Se Albuquerque NM 87106
Fax: (505) 841-1737
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 88-218 New Mexico

Profile Details

NPI number 1194777524
LBN Legal business name Martin, John R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Aug 14th, 2008 - about 17 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 1194777524 NPPES
New Mexico MEDICAID 1164

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