Mcmartin, Michael R

Mcmartin, Michael R is an individual health care provider with primary practice located at 1000 N Curtis Rd Ste 202, Boise ID 83706-1346. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Mcmartin, Michael R can be contacted via phone (208) 377-3435.

Contact Information

Primary practice address
1000 N Curtis Rd Ste 202 Boise ID 83706-1346
Fax: (208) 377-3147
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X M5533 Idaho

Profile Details

NPI number 1174526974
LBN Legal business name Mcmartin, Michael R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Aug 13th, 2019 - about 6 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 1174526974 NPPES
Idaho MEDICAID 003841900

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