Martin, Stephen Roger

Martin, Stephen Roger is an individual health care provider with primary practice located at 707 S Western Rd , Stillwater OK 74074-4126. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Martin, Stephen Roger can be contacted via phone (405) 743-4212.

Contact Information

Primary practice address
707 S Western Rd Stillwater OK 74074-4126
Fax: (405) 743-1134
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 13792 Oklahoma

Profile Details

NPI number 1043247463
LBN Legal business name Martin, Stephen Roger
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Nov 12th, 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 1043247463 NPPES
Oklahoma MEDICAID 100100800A

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