Martin, Carolyn K

Martin, Carolyn K is an individual health care provider with primary practice located at 5350 Eastern Ave , Davenport IA 52807-2709. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Martin, Carolyn K can be contacted via phone (563) 355-1853.

Contact Information

Primary practice address
5350 Eastern Ave Davenport IA 52807-2709
Phone: (563) 355-1853
Fax: (563) 359-1512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 28473 Iowa

Profile Details

NPI number 1659469138
LBN Legal business name Martin, Carolyn K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Oct 22nd, 2014 - about 12 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 1659469138 NPPES
Iowa MEDICAID 2095109
Iowa Other 16405

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