Martin, Rodney A
Martin, Rodney A is an sole proprietor health care provider with primary practice located at 1286 Peabody Ave , Memphis TN 38104-3550. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Martin, Rodney A can be contacted via phone (901) 276-6000.Contact Information
Primary practice address
1286 Peabody Ave
Memphis TN 38104-3550
Phone: (901) 276-6000
Fax: (901) 276-4000
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 19088 | Tennessee |
Profile Details
NPI number | 1326005927 |
---|---|
LBN Legal business name | Martin, Rodney A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 27th, 2006 |
Last updated | Feb 4th, 2011 - about 13 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1326005927 | NPPES |
Tennessee | MEDICAID | 3066241 | |
Tennessee | Other | 162842 |
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