Martelli, Matthew Gregory

Martelli, Matthew Gregory is an individual health care provider with primary practice located at 1800 12Th St , Meridian MS 39301-4158. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Martelli, Matthew Gregory can be contacted via phone (601) 703-9223.

Contact Information

Primary practice address
1800 12Th St Meridian MS 39301-4158
Phone: (601) 703-9223
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X TRN15488 Florida

Profile Details

NPI number 1902127152
LBN Legal business name Martelli, Matthew Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2010
Last updated Apr 3rd, 2015 - about 11 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 1902127152 NPPES
Florida MEDICAID 014421600

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