Martin, Patrick Allen
Martin, Patrick Allen is an individual health care provider with primary practice located at 2610 Trinity Dr Ste 14 , Los Alamos NM 87544-2362. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Martin, Patrick Allen can be contacted via phone (505) 500-8213.Contact Information
Primary practice address
2610 Trinity Dr Ste 14
Los Alamos NM 87544-2362
Phone: (505) 500-8213
Fax: (866) 611-2891
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine | 207QH0002X | MD2004-0503 | New Mexico |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD20040503 | New Mexico |
Profile Details
| NPI number | 1457346793 |
|---|---|
| LBN Legal business name | Martin, Patrick Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Apr 26th, 2023 - about 2 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 | 1457346793 | NPPES |
| New Mexico | MEDICAID | 47951567 |
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