Martin, Michael J
Martin, Michael J is an individual health care provider with primary practice located at 1724 W Union Ave , Tacoma WA 98405-2099. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Martin, Michael J can be contacted via phone (253) 572-2663.Contact Information
Primary practice address
1724 W Union Ave
Tacoma WA 98405-2099
Phone: (253) 572-2663
Fax: (253) 752-1160
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine | 207XS0117X | MD00031212 | Washington |
Profile Details
| NPI number | 1790726768 |
|---|---|
| LBN Legal business name | Martin, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Jan 25th, 2012 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790726768 | NPPES |
| Washington | Other | 48529 | DEPT OF LABOR & INDUSTRIE |
| Washington | Other | 193396800 | DEPT OF LABOR & INDUSTRIE |
| Washington | MEDICAID | 1084144 | DEPT OF LABOR & INDUSTRIE |
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