Martucci, Martin Leo
Martucci, Martin Leo is an individual health care provider with primary practice located at 10810 E 45Th St Ste 400 , Tulsa OK 74146-3806. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Martucci, Martin Leo can be contacted via phone (918) 742-7030.Contact Information
Primary practice address
10810 E 45Th St Ste 400
Tulsa OK 74146-3806
Phone: (918) 742-7030
Fax: (918) 742-9958
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 23167 | Oklahoma |
Profile Details
| NPI number | 1962405035 |
|---|---|
| LBN Legal business name | Martucci, Martin Leo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2005 |
| Last updated | Nov 9th, 2020 - about 4 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 | 1962405035 | NPPES |
| Oklahoma | MEDICAID | 200004950A |
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