Martin, Scot A
Martin, Scot A is an individual health care provider with primary practice located at 141 S Roadrunner Pkwy Suite 129, Las Cruces NM 88011-2006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Martin, Scot A can be contacted via phone (505) 521-7111.Contact Information
Primary practice address
141 S Roadrunner Pkwy Suite 129
Las Cruces NM 88011-2006
Phone: (505) 521-7111
Fax: (505) 521-0563
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 20020069 | New Mexico |
Profile Details
| NPI number | 1013029776 |
|---|---|
| LBN Legal business name | Martin, Scot A |
| Credentials | MD. PC. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Oct 11th, 2023 - about 2 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 | 1013029776 | NPPES |
| New Mexico | Other | 00NM019760 | BCBS NM |
| New Mexico | MEDICAID | 57836370 | BCBS NM |
| New Mexico | Other | 753046022001 | BCBS NM |
| New Mexico | Other | 772805 | BCBS NM |
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