Martin, Robert Wayne

Martin, Robert Wayne is an individual health care provider with primary practice located at 1290 E 32Nd St , Silver City NM 88061-7229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Martin, Robert Wayne can be contacted via phone (575) 388-1819.

Contact Information

Primary practice address
1290 E 32Nd St Silver City NM 88061-7229
Phone: (575) 388-1819
Fax: (575) 388-1972
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X MD2014-0169 New Mexico
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 20666 Arizona

Profile Details

NPI number 1104806835
LBN Legal business name Martin, Robert Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Sep 17th, 2014 - about 10 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 1104806835 NPPES
New Mexico Other 350764YKR1 MEDICARE PTAN
New Mexico MEDICAID 88659704 MEDICARE PTAN

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