Martin, Sam

Martin, Sam is an sole proprietor health care provider with primary practice located at 2025 S Brentwood Blvd Suite 200, Brentwood MO 63144-1833. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Martin, Sam can be contacted via phone (314) 918-1688.

Contact Information

Primary practice address
2025 S Brentwood Blvd Suite 200 Brentwood MO 63144-1833
Phone: (314) 918-1688
Fax: (844) 272-4251
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 2005010629 Missouri

Profile Details

NPI number 1154376788
LBN Legal business name Martin, Sam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2006
Last updated Aug 18th, 2014 - about 11 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 1154376788 NPPES
Missouri MEDICAID 207302605

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