Short, Martha J

Short, Martha J is an individual health care provider with primary practice located at 1414 W Fair Ave Ste 201, Marquette MI 49855-5406. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Short, Martha J can be contacted via phone (906) 225-4500.

Contact Information

Primary practice address
1414 W Fair Ave Ste 201 Marquette MI 49855-5406
Phone: (906) 225-4500
Fax: (906) 225-3919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301054632 Michigan

Profile Details

NPI number 1811991250
LBN Legal business name Short, Martha J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811991250 NPPES
Michigan Other 110E26038 BCBSM
Michigan MEDICAID 3110839 BCBSM

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