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:
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Health care specialties

SpecialtyCodeLicense #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 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 1962472969 NPPES
Kentucky MEDICAID 64218143

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