Martin, Mike P

Martin, Mike P is an individual health care provider with primary practice located at 1 Choctaw Way , Talihina OK 74571-2022. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as his primary health care specialty. Martin, Mike P can be contacted via phone (918) 567-7019.

Contact Information

Primary practice address
1 Choctaw Way Talihina OK 74571-2022
Phone: (918) 567-7019
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 143 Montana

Profile Details

NPI number 1639137516
LBN Legal business name Martin, Mike P
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Nov 7th, 2011 - about 13 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 1639137516 NPPES
Oklahoma MEDICAID 1499419

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