Martin, Robert M

Martin, Robert M is an sole proprietor health care provider with primary practice located at 11541 Kingston Pike Ste 101, Knoxville TN 37934-0000. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Martin, Robert M can be contacted via phone (865) 675-7522.

Contact Information

Primary practice address
11541 Kingston Pike Ste 101 Knoxville TN 37934-0000
Phone: (865) 675-7522
Fax: (865) 671-3196
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN7953 Tennessee

Profile Details

NPI number 1922004159
LBN Legal business name Martin, Robert M
Credentials MS CFNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2005
Last updated Mar 7th, 2023 - about last year

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 1922004159 NPPES
Tennessee MEDICAID 3908484
Tennessee Other 44D0993636

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