Martin, Michael P

Martin, Michael P is an sole proprietor health care provider with primary practice located at 126 Quincy Rd , Cheyenne WY 82009-4126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Martin, Michael P can be contacted via phone (307) 632-9970.

Contact Information

Primary practice address
126 Quincy Rd Cheyenne WY 82009-4126
Phone: (307) 632-9970
Fax: (307) 632-9972
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 5082A Wyoming

Profile Details

NPI number 1386601912
LBN Legal business name Martin, Michael P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2006
Last updated Nov 12th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386601912 NPPES
Wyoming Other 304139 BCBS
Wyoming Other 40010763 BCBS
Wyoming MEDICAID 105457100 BCBS

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