Fialkov, Martin Jerome

Fialkov, Martin Jerome is an sole proprietor health care provider with primary practice located at 1201 63Rd St , Des Moines IA 50311-1943. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Fialkov, Martin Jerome can be contacted via phone (515) 225-6861.

Contact Information

Primary practice address
1201 63Rd St Des Moines IA 50311-1943
Phone: (515) 225-6861
Fax: (515) 225-6864
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 36314 Iowa
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD024394E Pennsylvania

Profile Details

NPI number 1629042288
LBN Legal business name Fialkov, Martin Jerome
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2006
Last updated Aug 11th, 2007 - about 19 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 1629042288 NPPES
Iowa Other 04327 WELLMARK
Iowa Other 248245 WELLMARK

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