Martell, Erick G

Martell, Erick G is an individual health care provider with primary practice located at 1919 Lathrop St , Fairbanks AK 99701-5937. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Martell, Erick G can be contacted via phone (907) 459-3586.

Contact Information

Primary practice address
1919 Lathrop St Fairbanks AK 99701-5937
Phone: (907) 459-3586
Fax: (907) 374-7770
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 11981 Hawaii
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 168881 Alaska

Profile Details

NPI number 1649303694
LBN Legal business name Martell, Erick G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Feb 1st, 2023 - about 3 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 1649303694 NPPES
Alaska MEDICAID 1720992

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