Martin, Charles D

Martin, Charles D is an sole proprietor health care provider with primary practice located at 2568 S Ridgewood Ave Ste 5, Edgewater FL 32141-5980. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Martin, Charles D can be contacted via phone (386) 427-8403.

Contact Information

Primary practice address
2568 S Ridgewood Ave Ste 5 Edgewater FL 32141-5980
Phone: (386) 427-8403
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH3303 Florida

Profile Details

NPI number 1336234137
LBN Legal business name Martin, Charles D
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Sep 28th, 2007 - about 19 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 1336234137 NPPES
Florida Other AD239 MEDICARE GROUP ID
Florida Other 88572 MEDICARE GROUP ID

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