Martin, William Charles

Martin, William Charles is an individual health care provider with primary practice located at 2021 N 12Th St , Grand Junction CO 81501-2980. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Martin, William Charles can be contacted via phone (970) 254-1686.

Contact Information

Primary practice address
2021 N 12Th St Grand Junction CO 81501-2980
Phone: (970) 254-1686
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 38178 Colorado

Profile Details

NPI number 1922062371
LBN Legal business name Martin, William Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Apr 28th, 2008 - about 16 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 1922062371 NPPES
Colorado MEDICAID 02504278
Colorado MEDICAID T0201

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