Martyn, Kurt R
Martyn, Kurt R is an individual health care provider with primary practice located at 700 S Main St , Moscow ID 83843-3056. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as his primary health care specialty. Martyn, Kurt R can be contacted via phone (208) 882-4511.Contact Information
Primary practice address
700 S Main St
Moscow ID 83843-3056
Phone: (208) 882-4511
Fax: (208) 883-6580
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | M-9676 | Idaho |
Profile Details
| NPI number | 1710034988 |
|---|---|
| LBN Legal business name | Martyn, Kurt R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 3rd, 2007 |
| Last updated | Jul 9th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1710034988 | NPPES |
| Idaho | Other | HB184 | BLUE CROSS ID |
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