Hanawalt, Martin E

Hanawalt, Martin E is an individual health care provider with primary practice located at 335 Glessner Ave , Mansfield OH 44903-2269. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Hanawalt, Martin E can be contacted via phone (419) 526-8533.

Contact Information

Primary practice address
335 Glessner Ave Mansfield OH 44903-2269
Phone: (419) 526-8533
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35.071705 Ohio
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 35071705 Ohio

Profile Details

NPI number 1811967185
LBN Legal business name Hanawalt, Martin E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Apr 3rd, 2024 - about 2 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 1811967185 NPPES
Ohio MEDICAID 0128810

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