Martin, Brian C

Martin, Brian C is an individual health care provider with primary practice located at 593 Eddy St Davol 141, Providence RI 02903-4923. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Martin, Brian C can be contacted via phone (401) 854-2504.

Contact Information

Primary practice address
593 Eddy St Davol 141 Providence RI 02903-4923
Phone: (401) 854-2504
Fax: (401) 854-2519
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1942571294
LBN Legal business name Martin, Brian C
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2012
Last updated Sep 17th, 2013 - about 13 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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