Martin, Mark W

Martin, Mark W is an individual health care provider with primary practice located at 600 Nw Murray Rd Suite 210, Lees Summit MO 64081-1204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Martin, Mark W can be contacted via phone (816) 524-2626.

Contact Information

Primary practice address
600 Nw Murray Rd Suite 210 Lees Summit MO 64081-1204
Phone: (816) 524-2626
Fax: (816) 524-0173
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD 35980 Missouri

Profile Details

NPI number 1770578361
LBN Legal business name Martin, Mark W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Dec 21st, 2009 - about 15 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 1770578361 NPPES
Kansas MEDICAID 100453490A
Kansas MEDICAID 201211018

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