Martin, Alvin W.

Martin, Alvin W. is an individual health care provider with primary practice located at 2307 Greene Way , Louisville KY 40220-4009. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Martin, Alvin W. can be contacted via phone (502) 897-9594.

Contact Information

Primary practice address
2307 Greene Way Louisville KY 40220-4009
Phone: (502) 897-9594
Fax: (502) 736-4456
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology 207ZH0000X 22866 Kentucky
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 22866 Kentucky

Profile Details

NPI number 1124005814
LBN Legal business name Martin, Alvin W.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 23rd, 2005
Last updated Jul 6th, 2010 - about 16 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 1124005814 NPPES
Kentucky MEDICAID 64228661
Kentucky Other 000000596219
Kentucky Other 3691838000
Kentucky Other 50021837
Kentucky MEDICAID 200071070

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