Martinez, Serge Anthony
Martinez, Serge Anthony is an individual health care provider with primary practice located at 4950 Norton Healthcare Blvd Suite 209, Louisville KY 40241-2845. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Martinez, Serge Anthony can be contacted via phone (502) 425-5556.Contact Information
Primary practice address
4950 Norton Healthcare Blvd Suite 209
Louisville KY 40241-2845
Phone: (502) 425-5556
Fax: (502) 992-0079
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 21314 | Kentucky |
Profile Details
NPI number | 1962472969 |
---|---|
LBN Legal business name | Martinez, Serge Anthony |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 24th, 2006 |
Last updated | Feb 22nd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962472969 | NPPES |
Kentucky | MEDICAID | 64218143 |
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