Martin, Rebecca Edge
Martin, Rebecca Edge is an sole proprietor health care provider with primary practice located at 4300 W 7Th St , Little Rock AR 72205-5446. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Martin, Rebecca Edge can be contacted via phone (501) 257-5778.Contact Information
Primary practice address
4300 W 7Th St
Little Rock AR 72205-5446
Phone: (501) 257-5778
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | C5785 | Arkansas |
Profile Details
NPI number | 1952404931 |
---|---|
LBN Legal business name | Martin, Rebecca Edge |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 6th, 2006 |
Last updated | Jun 17th, 2008 - about 16 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 | 1952404931 | NPPES |
Arkansas | Other | 1100069008 | MEDICARE RAILROAD |
Arkansas | MEDICAID | 111259001 | MEDICARE RAILROAD |
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