Martin, Robert Donald

Martin, Robert Donald is an sole proprietor health care provider with primary practice located at 217 E Broadway Blvd , Johnston City IL 62951-1604. He recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Chiropractic Providers / Radiology, Chiropractic Providers / Orthopedic. Chiropractic Providers / Chiropractor is his primary health care specialty. Martin, Robert Donald can be contacted via phone (619) 983-3900.

Contact Information

Primary practice address
217 E Broadway Blvd Johnston City IL 62951-1604
Phone: (619) 983-3900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X Illinois
Chiropractic Providers / Radiology 111NR0200X Illinois
Chiropractic Providers / Orthopedic 111NX0800X Illinois

Profile Details

NPI number 1043222995
LBN Legal business name Martin, Robert Donald
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2006
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 1043222995 NPPES
Illinois Other 073-82002 BLUE CROSS/BLUE SHIELD

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