Martin, Samuel Gene

Martin, Samuel Gene is an sole proprietor health care provider with primary practice located at 5310 E 31St St Fl 11 Ste 1102 , Tulsa OK 74135-5018. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Martin, Samuel Gene can be contacted via phone (918) 561-1700.

Contact Information

Primary practice address
5310 E 31St St Fl 11 Ste 1102 Tulsa OK 74135-5018
Phone: (918) 561-1700
Fax: (918) 561-1701
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 25859 Oklahoma
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 25859 Oklahoma

Profile Details

NPI number 1467659953
LBN Legal business name Martin, Samuel Gene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2007
Last updated Mar 30th, 2022 - about 3 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 1467659953 NPPES
Oklahoma Other 440062YM2Y MEDICARE
Oklahoma MEDICAID 200203640A MEDICARE

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