Martin, Carolyn M.

Martin, Carolyn M. is an individual health care provider with primary practice located at 621 S New Ballas Rd Ste 2007B , Saint Louis MO 63141-8265. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Martin, Carolyn M. can be contacted via phone (314) 991-5000.

Contact Information

Primary practice address
621 S New Ballas Rd Ste 2007B Saint Louis MO 63141-8265
Phone: (314) 991-5000
Fax: (314) 991-5035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X R7824 Missouri

Profile Details

NPI number 1669465134
LBN Legal business name Martin, Carolyn M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Oct 9th, 2018 - about 8 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 1669465134 NPPES
Missouri MEDICAID 200990844

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