Martin, Gary L

Martin, Gary L is an individual health care provider with primary practice located at 3500 E Frank Phillips Blvd Jpmc Anesthesia Dept, Bartlesville OK 74006-2411. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Martin, Gary L can be contacted via phone (918) 331-1555.

Contact Information

Primary practice address
3500 E Frank Phillips Blvd Jpmc Anesthesia Dept Bartlesville OK 74006-2411
Phone: (918) 331-1555
Fax: (918) 331-1695
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R0030164 Oklahoma

Profile Details

NPI number 1689779381
LBN Legal business name Martin, Gary L
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Oct 27th, 2009 - about 17 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 1689779381 NPPES
Oklahoma MEDICAID 100788020A

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