Martin, David John
Martin, David John is an individual health care provider with primary practice located at 4415 Sonoma Hwy Suite A, Santa Rosa CA 95409-7100. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Martin, David John can be contacted via phone (707) 537-2070.Contact Information
Primary practice address
4415 Sonoma Hwy Suite A
Santa Rosa CA 95409-7100
Phone: (707) 537-2070
Fax: (707) 537-9696
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | A82729 | California |
Profile Details
| NPI number | 1225036320 |
|---|---|
| LBN Legal business name | Martin, David John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2005 |
| Last updated | Jul 23rd, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225036320 | NPPES |
| California | MEDICAID | GR0067920 | |
| California | Other | P00051386 |
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