Martin, Phillip Allan

Martin, Phillip Allan is an sole proprietor health care provider with primary practice located at 6425 Lynch Canyon Dr , Lake Isabella CA 93240-9726. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Martin, Phillip Allan can be contacted via phone (760) 379-8630.

Contact Information

Primary practice address
6425 Lynch Canyon Dr Lake Isabella CA 93240-9726
Phone: (760) 379-8630
Fax: (760) 379-7658
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X G61763 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X G61763 California

Profile Details

NPI number 1275580680
LBN Legal business name Martin, Phillip Allan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2006
Last updated Feb 20th, 2019 - about 6 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 1275580680 NPPES
California MEDICAID 00G617630

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