Martin, Mark A

Martin, Mark A is an sole proprietor health care provider with primary practice located at 2112 Pineshore Ct , Evansville IN 47711-4473. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Martin, Mark A can be contacted via phone (812) 437-5554.

Contact Information

Primary practice address
2112 Pineshore Ct Evansville IN 47711-4473
Phone: (812) 437-5554
Fax: (812) 437-5577
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02002206A Indiana

Profile Details

NPI number 1295707859
LBN Legal business name Martin, Mark A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2006
Last updated Jul 16th, 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 1295707859 NPPES
Indiana MEDICAID 200355030A
Indiana Other 000000324829
Indiana Other 2296702

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