Martin, Robert Cg
Martin, Robert Cg is an individual health care provider with primary practice located at 401 E Chestnut St Suite 710, Louisville KY 40202-5700. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgical Oncology is his primary health care specialty. Martin, Robert Cg can be contacted via phone (502) 583-8303.Contact Information
Primary practice address
401 E Chestnut St Suite 710
Louisville KY 40202-5700
Phone: (502) 583-8303
Fax: (502) 584-0302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 32503 | Kentucky |
| Allopathic & Osteopathic Physicians / Surgical Oncology | 2086X0206X | 32503 | Kentucky |
Profile Details
| NPI number | 1619947504 |
|---|---|
| LBN Legal business name | Martin, Robert Cg |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Jul 30th, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619947504 | NPPES |
| Kentucky | Other | 1163651 | PASSPORT |
| Kentucky | MEDICAID | 64325038 | PASSPORT |
| Kentucky | MEDICAID | 200367780 | PASSPORT |
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