Martin, Timothy James

Martin, Timothy James is an individual health care provider with primary practice located at 10600 Quivira Rd Ste 200 , Overland Park KS 66215-2311. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Martin, Timothy James can be contacted via phone (913) 541-0990.

Contact Information

Primary practice address
10600 Quivira Rd Ste 200 Overland Park KS 66215-2311
Phone: (913) 541-0990
Fax: (913) 541-1452
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 423578 Kansas
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 423578 Kansas

Profile Details

NPI number 1154305175
LBN Legal business name Martin, Timothy James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Mar 6th, 2020 - 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 1154305175 NPPES
Kansas MEDICAID 100127710A

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