Martin, Paul A

Martin, Paul A is an individual health care provider with primary practice located at 77 E Woodbury Dr Suite 110, Dayton OH 45415-2855. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Martin, Paul A can be contacted via phone (937) 277-1722.

Contact Information

Primary practice address
77 E Woodbury Dr Suite 110 Dayton OH 45415-2855
Phone: (937) 277-1722
Fax: (937) 277-8618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34002694M Ohio

Profile Details

NPI number 1841292018
LBN Legal business name Martin, Paul A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Dec 3rd, 2013 - about 12 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 1841292018 NPPES
Ohio Other 421534506031 CARESOURCE
Ohio Other D0269405 CARESOURCE
Ohio Other 000000227892 CARESOURCE
Ohio MEDICAID 0486782 CARESOURCE
Ohio Other 080191708 CARESOURCE
Ohio Other 34002694M CARESOURCE
Ohio Other 000000227892 CARESOURCE
Ohio Other 0120333 CARESOURCE
Ohio Other 660537 CARESOURCE

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