Martin, Jonathan

Martin, Jonathan is an individual health care provider with primary practice located at 211 Blount Ave Suite 507, Knoxville TN 37920. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Martin, Jonathan can be contacted via phone (865) 525-0598.

Contact Information

Primary practice address
211 Blount Ave Suite 507 Knoxville TN 37920
Fax: (865) 525-0598
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 37585 Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 37585 Tennessee

Profile Details

NPI number 1881672558
LBN Legal business name Martin, Jonathan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Aug 3rd, 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 1881672558 NPPES
Tennessee MEDICAID 3886502
Tennessee Other 4066540
Tennessee Other 7688492
Tennessee Other P00078148

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