Sheline, Martin Engwall
Sheline, Martin Engwall is an individual health care provider with primary practice located at 527 N. Palo Alto Ave , Panama City FL 32401-3639. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Sheline, Martin Engwall can be contacted via phone (850) 747-4905.Contact Information
Primary practice address
527 N. Palo Alto Ave
Panama City FL 32401-3639
Phone: (850) 747-4905
Fax: (850) 747-4907
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 34710 | Georgia |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME109093 | Florida |
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | ME109093 | Florida |
Profile Details
NPI number | 1982638466 |
---|---|
LBN Legal business name | Sheline, Martin Engwall |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 10th, 2006 |
Last updated | Oct 6th, 2011 - about 13 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 | 1982638466 | NPPES |
Florida | MEDICAID | 003672200 | |
Florida | Other | 14E53 |
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