Bydalek, Martin

Bydalek, Martin is an individual health care provider with primary practice located at 2819 Denny Ave , Pascagoula MS 39581. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bydalek, Martin can be contacted via phone (228) 762-3466.

Contact Information

Primary practice address
2819 Denny Ave Pascagoula MS 39581
Phone: (228) 762-3466
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 10633 Mississippi
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MS10633 Mississippi

Profile Details

NPI number 1609926211
LBN Legal business name Bydalek, Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Feb 11th, 2016 - about 10 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 1609926211 NPPES
Other 930026514 RAILROAD MEDICARE
MEDICAID 00015597 RAILROAD MEDICARE
Other 386693YKC0 RAILROAD MEDICARE
Other 646000515 RAILROAD MEDICARE
MEDICAID 008605220 RAILROAD MEDICARE
Other 646000515 RAILROAD MEDICARE

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