Martin, Stephanie Renee

Martin, Stephanie Renee is an individual health care provider with primary practice located at 2401 Brandermill Blvd Suite 250, Gambrills MD 21054-1690. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Martin, Stephanie Renee can be contacted via phone (410) 721-1507.

Contact Information

Primary practice address
2401 Brandermill Blvd Suite 250 Gambrills MD 21054-1690
Fax: (410) 721-1510
Website:

Profile Details

NPI number 1891992376
LBN Legal business name Martin, Stephanie Renee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2007
Last updated Apr 1st, 2015 - about 10 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 1891992376 NPPES
Maryland MEDICAID 053826400
Maryland Other K6440003
Maryland Other 97725101
Maryland Other 8527802
Maryland Other 9936846

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