Martin, Steven Douglas

Martin, Steven Douglas is an individual health care provider with primary practice located at 1 Medical Village Drive , Edgewood KY 41017-3403. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Martin, Steven Douglas can be contacted via phone (859) 301-2000.

Contact Information

Primary practice address
1 Medical Village Drive Edgewood KY 41017-3403
Phone: (859) 301-2000
Fax: (859) 426-4140
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 07307 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X NP-07307 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3002999 Kentucky

Profile Details

NPI number 1811995558
LBN Legal business name Martin, Steven Douglas
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Oct 11th, 2019 - about 5 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 1811995558 NPPES
Kentucky Other 0562617 MEDICARE
Kentucky Other 0369211 MEDICARE
Kentucky Other 611300608058 MEDICARE
Kentucky MEDICAID 78003274 MEDICARE
Kentucky Other 0369017 MEDICARE

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