Martin, Bryan Evan

Martin, Bryan Evan is an individual health care provider with primary practice located at 714 W 4Th St , Adel GA 31620-2656. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Martin, Bryan Evan can be contacted via phone (229) 896-1601.

Contact Information

Primary practice address
714 W 4Th St Adel GA 31620-2656
Phone: (229) 896-1601
Fax: (229) 896-1621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X RPH019619 Georgia

Profile Details

NPI number 1952698052
LBN Legal business name Martin, Bryan Evan
Credentials R.PH.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2011
Last updated Jul 9th, 2011 - about 15 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 1952698052 NPPES
Georgia Other RPH019619 GA LICENSE

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