Martin, Paul Timothy

Martin, Paul Timothy is an sole proprietor health care provider with primary practice located at 9040 Millbranch Rd , Southaven MS 38671-1420. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Martin, Paul Timothy can be contacted via phone (662) 342-1107.

Contact Information

Primary practice address
9040 Millbranch Rd Southaven MS 38671-1420
Fax: (662) 280-0178
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 754 Mississippi

Profile Details

NPI number 1437245107
LBN Legal business name Martin, Paul Timothy
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2006
Last updated Jan 23rd, 2012 - about 14 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 1437245107 NPPES
Mississippi Other 6443272001 CIGNA
Mississippi Other 0123504 CIGNA
Mississippi Other 4350351 CIGNA

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