Martin, Kurt

Martin, Kurt is an individual health care provider with primary practice located at 2601 W Main St , Carbondale IL 62901-1031. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Martin, Kurt can be contacted via phone (618) 549-5361.

Contact Information

Primary practice address
2601 W Main St Carbondale IL 62901-1031
Phone: (618) 549-5361
Fax: (618) 351-4878
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-093490 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036-093490 Illinois

Profile Details

NPI number 1164535365
LBN Legal business name Martin, Kurt
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Nov 2nd, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1164535365 NPPES
Illinois Other 49676 GHP INS. NUMBER
Illinois Other 324139 GHP INS. NUMBER
Illinois Other 370012538 GHP INS. NUMBER
Illinois Other 3932056 GHP INS. NUMBER
Illinois Other 7210895 GHP INS. NUMBER
Illinois Other 027530 GHP INS. NUMBER
Illinois Other 279844 GHP INS. NUMBER

Popular Providers