Martin, Robert William

Martin, Robert William is an individual health care provider with primary practice located at 421 Chestnut St , Evansville IN 47713-1227. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Martin, Robert William can be contacted via phone (812) 426-9355.

Contact Information

Primary practice address
421 Chestnut St Evansville IN 47713-1227
Phone: (812) 426-9355
Fax: (812) 858-4539
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 01044875A Indiana

Profile Details

NPI number 1215906516
LBN Legal business name Martin, Robert William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Sep 10th, 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 1215906516 NPPES
Indiana Other 90774 PHCS PID NUMBER
Indiana Other 10825550 PHCS PID NUMBER
Indiana MEDICAID 200103290 PHCS PID NUMBER

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