St. Martin, Mark R
St. Martin, Mark R is an individual health care provider with primary practice located at 26850 Providence Pkwy Suite 505, Novi MI 48374-1209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. St. Martin, Mark R can be contacted via phone (248) 465-4163.Contact Information
Primary practice address
26850 Providence Pkwy Suite 505
Novi MI 48374-1209
Phone: (248) 465-4163
Fax: (248) 465-4359
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301082441 | Michigan |
Profile Details
| NPI number | 1922069061 |
|---|---|
| LBN Legal business name | St. Martin, Mark R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Nov 10th, 2015 - about 9 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 | 1922069061 | NPPES |
| Michigan | MEDICAID | 4883284 |
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