Martin, Nicholaus Bruce

Martin, Nicholaus Bruce is an sole proprietor health care provider with primary practice located at 120 W Fine Ave , Flagstaff AZ 86001-3016. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Martin, Nicholaus Bruce can be contacted via phone (928) 773-9695.

Contact Information

Primary practice address
120 W Fine Ave Flagstaff AZ 86001-3016
Fax: (928) 773-0208
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 18430 Arizona
Allopathic & Osteopathic Physicians / General Practice 208D00000X 40573 Colorado

Profile Details

NPI number 1629053236
LBN Legal business name Martin, Nicholaus Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 7th, 2005
Last updated Jan 22nd, 2010 - 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.

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