Martin, Christopher A.

Martin, Christopher A. is an individual health care provider with primary practice located at 645 Kanawha Ave , Rainelle WV 25962-1013. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Martin, Christopher A. can be contacted via phone (304) 438-6188.

Contact Information

Primary practice address
645 Kanawha Ave Rainelle WV 25962-1013
Phone: (304) 438-6188
Fax: (304) 438-6819
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 00965 West Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ED0222A West Virginia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2635 West Virginia

Profile Details

NPI number 1851407142
LBN Legal business name Martin, Christopher A.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Sep 11th, 2014 - about 11 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 1851407142 NPPES
West Virginia MEDICAID 3810024860
West Virginia Other 2744504
West Virginia MEDICAID 0034320000
West Virginia MEDICAID 0056758000

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