Blain, Martin W

Blain, Martin W is an sole proprietor health care provider with primary practice located at 6325 Topanga Canyon Blvd Ste 103, Woodland Hills CA 91367-2006. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Blain, Martin W can be contacted via phone (818) 346-0041.

Contact Information

Primary practice address
6325 Topanga Canyon Blvd Ste 103 Woodland Hills CA 91367-2006
Phone: (818) 346-0041
Fax: (818) 346-5127
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E2189 California

Profile Details

NPI number 1689645897
LBN Legal business name Blain, Martin W
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2006
Last updated Oct 15th, 2008 - about 18 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 1689645897 NPPES
California MEDICAID 000E21890

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