Martin, Alan John

Martin, Alan John is an individual health care provider with primary practice located at 12634 Olive Blvd Dept Emergency Med, Saint Louis MO 63141-6337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Martin, Alan John can be contacted via phone (314) 996-8470.

Contact Information

Primary practice address
12634 Olive Blvd Dept Emergency Med Saint Louis MO 63141-6337
Phone: (314) 996-8470
Fax: (314) 747-3338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2004016559 Missouri

Profile Details

NPI number 1396728457
LBN Legal business name Martin, Alan John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Apr 17th, 2025 - about last year

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 1396728457 NPPES
Missouri MEDICAID 209055706

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