Thomas, John Martin
Thomas, John Martin is an individual health care provider with primary practice located at 712 S Cascade St , Fergus Falls MN 56537-2913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Thomas, John Martin can be contacted via phone (218) 739-2221.Contact Information
Primary practice address
712 S Cascade St
Fergus Falls MN 56537-2913
Phone: (218) 739-2221
Fax: (218) 739-5501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20912 | Minnesota |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 3400 | North Dakota |
Profile Details
| NPI number | 1831201979 |
|---|---|
| LBN Legal business name | Thomas, John Martin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831201979 | NPPES |
| Minnesota | MEDICAID | 422772700 |
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