Martin, Robert Allen

Martin, Robert Allen is an individual health care provider with primary practice located at 805 N Kentucky St , West Plains MO 65775-2022. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Martin, Robert Allen can be contacted via phone (417) 256-2111.

Contact Information

Primary practice address
805 N Kentucky St West Plains MO 65775-2022
Phone: (417) 256-2111
Fax: (417) 256-4858
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X R5N24 Missouri

Profile Details

NPI number 1841297181
LBN Legal business name Martin, Robert Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jul 9th, 2007 - about 18 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 1841297181 NPPES
Missouri MEDICAID 202840807
Missouri MEDICAID 599022307
Missouri MEDICAID 599022308

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