Martin, Michael E

Martin, Michael E is an individual health care provider with primary practice located at 2461 Summerfield Rd , Santa Rosa CA 95405-7815. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Martin, Michael E can be contacted via phone (707) 525-0211.

Contact Information

Primary practice address
2461 Summerfield Rd Santa Rosa CA 95405-7815
Phone: (707) 525-0211
Fax: (707) 525-0491
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X G29076 California

Profile Details

NPI number 1245213776
LBN Legal business name Martin, Michael E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Jul 8th, 2007 - about 19 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 1245213776 NPPES
California Other G29076 LICENSE
California MEDICAID GR0061440 LICENSE

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