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
Fax: (253) 752-1160
Website:

Health care specialties

SpecialtyCodeLicense #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 12 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 1790726768 NPPES
Washington Other 48529 DEPT OF LABOR & INDUSTRIE
Washington Other 193396800 DEPT OF LABOR & INDUSTRIE
Washington MEDICAID 1084144 DEPT OF LABOR & INDUSTRIE

Popular Providers