Martin, Thomas Michael

Martin, Thomas Michael is an individual health care provider with primary practice located at 39 Windsor Dr , Bridgeport WV 26330. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Martin, Thomas Michael can be contacted via phone (304) 842-3137.

Contact Information

Primary practice address
39 Windsor Dr Bridgeport WV 26330
Phone: (304) 842-3137
Fax: (304) 842-3138
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 000437 West Virginia

Profile Details

NPI number 1497759450
LBN Legal business name Martin, Thomas Michael
Credentials Registered Physical Therapist (RPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Jul 8th, 2007 - about 17 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 1497759450 NPPES
West Virginia Other 01071873100 WORKERS' COMPENSATION
West Virginia Other 33664 WORKERS' COMPENSATION
West Virginia Other 398792 WORKERS' COMPENSATION
West Virginia Other 1382862 WORKERS' COMPENSATION
West Virginia Other 5235074 WORKERS' COMPENSATION
West Virginia MEDICAID 7301125000 WORKERS' COMPENSATION
West Virginia Other WV51916B WORKERS' COMPENSATION

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