Harbison, Martin Bruce
Harbison, Martin Bruce is an individual health care provider with primary practice located at 506 1St Ave Se , Cullman AL 35055-4301. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Harbison, Martin Bruce can be contacted via phone (256) 739-3337.Contact Information
Primary practice address
506 1St Ave Se
Cullman AL 35055-4301
Phone: (256) 739-3337
Fax: (256) 739-3165
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2758 | Alabama |
Profile Details
| NPI number | 1356590715 |
|---|---|
| LBN Legal business name | Harbison, Martin Bruce |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 10th, 2008 |
| Last updated | Sep 10th, 2008 - about 15 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 | 1356590715 | NPPES |
| Alabama | MEDICAID | 000093096 |
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