Martin, Linus

Martin, Linus is an individual health care provider with primary practice located at 1001 Holland Ave , Philadelphia MS 39350-2161. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Martin, Linus can be contacted via phone (601) 663-1200.

Contact Information

Primary practice address
1001 Holland Ave Philadelphia MS 39350-2161
Fax: (601) 663-1379
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 16527 Mississippi

Profile Details

NPI number 1417993668
LBN Legal business name Martin, Linus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2006
Last updated Jul 8th, 2007 - 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 1417993668 NPPES
Mississippi MEDICAID 00122762

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