Martin, Patrick David

Martin, Patrick David is an sole proprietor health care provider with primary practice located at 1201 Medical Center Dr , Wilmington NC 28401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Martin, Patrick David can be contacted via phone (910) 251-8414.

Contact Information

Primary practice address
1201 Medical Center Dr Wilmington NC 28401
Fax: (910) 251-8736
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 39022 North Carolina
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 39022 North Carolina

Profile Details

NPI number 1306821202
LBN Legal business name Martin, Patrick David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 13th, 2005
Last updated Jan 31st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306821202 NPPES
South Carolina MEDICAID Q39022
South Carolina MEDICAID 8954126

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