Tanner, Martin Bryan

Tanner, Martin Bryan is an individual health care provider with primary practice located at 501 Medical Center Dr Suite 200, Alexandria LA 71301-8124. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Tanner, Martin Bryan can be contacted via phone (318) 487-1289.

Contact Information

Primary practice address
501 Medical Center Dr Suite 200 Alexandria LA 71301-8124
Phone: (318) 487-1289
Fax: (318) 487-1254
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 012039 Louisiana

Profile Details

NPI number 1275515355
LBN Legal business name Tanner, Martin Bryan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Apr 1st, 2008 - 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 1275515355 NPPES
Louisiana MEDICAID 1164763

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