Martin, Brian Stephen

Martin, Brian Stephen is an sole proprietor health care provider with primary practice located at 45Th And Penn Avenue 3Rd Floor Main Hospital, Pittsburgh PA 15201. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Martin, Brian Stephen can be contacted via phone (412) 692-6805.

Contact Information

Primary practice address
45Th And Penn Avenue 3Rd Floor Main Hospital Pittsburgh PA 15201
Phone: (412) 692-6805
Fax: (412) 692-7946
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DS031029L Pennsylvania

Profile Details

NPI number 1659308849
LBN Legal business name Martin, Brian Stephen
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2006
Last updated May 6th, 2009 - about 17 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 1659308849 NPPES
Pennsylvania MEDICAID 0017923280001
Pennsylvania Other 123088
Pennsylvania Other 920278
Pennsylvania Other 12482

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