Martin, Destiny

Martin, Destiny is an individual health care provider with primary practice located at 9 Schilling Rd Ste 102 , Hunt Valley MD 21031-8611. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Martin, Destiny can be contacted via phone (410) 771-9220.

Contact Information

Primary practice address
9 Schilling Rd Ste 102 Hunt Valley MD 21031-8611
Fax: (410) 771-9301
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D99040 Maryland
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D99040 Maryland

Profile Details

NPI number 1720616030
LBN Legal business name Martin, Destiny
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2020
Last updated Feb 21st, 2024 - about 2 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 1720616030 NPPES
Maryland MEDICAID 764815400

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