Martin, Allison

Martin, Allison is an individual health care provider with primary practice located at 20110 Governors Hwy , Olympia Fields IL 60461-1030. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Martin, Allison can be contacted via phone (708) 747-7960.

Contact Information

Primary practice address
20110 Governors Hwy Olympia Fields IL 60461-1030
Phone: (708) 747-7960
Fax: (708) 503-3993
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35409 Wisconsin

Profile Details

NPI number 1114033669
LBN Legal business name Martin, Allison
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Dec 18th, 2021 - about 5 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 1114033669 NPPES
Wisconsin MEDICAID 32020900

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