Martyak, Nicholas Anthony Paul

Martyak, Nicholas Anthony Paul is an individual health care provider with primary practice located at 3651 Wheeler Rd Department Of Emergency Medicine, Augusta GA 30909-6521. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Martyak, Nicholas Anthony Paul can be contacted via phone (706) 651-2369.

Contact Information

Primary practice address
3651 Wheeler Rd Department Of Emergency Medicine Augusta GA 30909-6521
Phone: (706) 651-2369
Fax: (706) 651-2364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 055268 Georgia

Profile Details

NPI number 1316946817
LBN Legal business name Martyak, Nicholas Anthony Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Aug 20th, 2013 - about 11 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 1316946817 NPPES
Other 345608 WELLCARE OF GA
Other 10062858 WELLCARE OF GA
MEDICAID 057308333A WELLCARE OF GA
Other 1447352778 WELLCARE OF GA

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