Martine, Andrew R
Martine, Andrew R is an individual health care provider with primary practice located at 615 S New Ballas Rd Dept Of Radiology, Saint Louis MO 63141-8221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Martine, Andrew R can be contacted via phone (314) 251-6031.Contact Information
Primary practice address
615 S New Ballas Rd Dept Of Radiology
Saint Louis MO 63141-8221
Phone: (314) 251-6031
Fax: (314) 251-6343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 2001021768 | Missouri |
Profile Details
| NPI number | 1679573927 |
|---|---|
| LBN Legal business name | Martine, Andrew R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Sep 8th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679573927 | NPPES |
| Missouri | MEDICAID | 207235409 |
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