Thomas, John Martin

Thomas, John Martin is an individual health care provider with primary practice located at 1 Walter Scholer Dr , Lafayette IN 47909-6303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Thomas, John Martin can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
1 Walter Scholer Dr Lafayette IN 47909-6303
Fax: (765) 448-8257
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01044009A Indiana

Profile Details

NPI number 1336108034
LBN Legal business name Thomas, John Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated May 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336108034 NPPES
Indiana Other 000000197891 ANTHEM PROVIDER NUMBER
Indiana Other 9397551 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 200145600 ANTHEM PROVIDER NUMBER

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