Martin, Peter Ray

Martin, Peter Ray is an individual health care provider with primary practice located at 715 Park Ave , South Bend IN 46616-1337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Martin, Peter Ray can be contacted via phone (574) 536-4151.

Contact Information

Primary practice address
715 Park Ave South Bend IN 46616-1337
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 323680 Louisiana

Profile Details

NPI number 1104357490
LBN Legal business name Martin, Peter Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2017
Last updated Jan 8th, 2021 - about 5 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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