Martin, Shane Douglas
Martin, Shane Douglas is an sole proprietor health care provider with primary practice located at 4201 Campus Ridge Drive , Midland MI 48640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Martin, Shane Douglas can be contacted via phone (989) 839-1795.Contact Information
Primary practice address
4201 Campus Ridge Drive
Midland MI 48640
Phone: (989) 839-1795
Fax: (989) 839-1785
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 5101018126 | Michigan |
Profile Details
| NPI number | 1386872588 |
|---|---|
| LBN Legal business name | Martin, Shane Douglas |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 25th, 2009 |
| Last updated | Nov 3rd, 2016 - about 9 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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