Martin, Scott A
Martin, Scott A is an individual health care provider with primary practice located at 134 Hospital Dr , Watertown WI 53098-3304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Martin, Scott A can be contacted via phone (920) 261-6500.Contact Information
Primary practice address
134 Hospital Dr
Watertown WI 53098-3304
Phone: (920) 261-6500
Fax: (920) 261-6107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 44871020 | Wisconsin |
Profile Details
| NPI number | 1114914538 |
|---|---|
| LBN Legal business name | Martin, Scott A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Nov 7th, 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 | 1114914538 | NPPES |
| Wisconsin | MEDICAID | 34510500 |
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