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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952404931 NPPES
Arkansas Other 1100069008 MEDICARE RAILROAD
Arkansas MEDICAID 111259001 MEDICARE RAILROAD

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