Martin, Matthew
Martin, Matthew is an individual health care provider with primary practice located at 1220 Jefferson St , Laurel MS 39440-4355. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Martin, Matthew can be contacted via phone (601) 428-0100.Contact Information
Primary practice address
1220 Jefferson St
Laurel MS 39440-4355
Phone: (601) 428-0100
Fax: (601) 428-0100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 32831 | Mississippi |
Profile Details
| NPI number | 1023579190 |
|---|---|
| LBN Legal business name | Martin, Matthew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2019 |
| Last updated | Apr 23rd, 2026 - about 6 months 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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