Martin, Rodney A

Martin, Rodney A is an sole proprietor health care provider with primary practice located at 1286 Peabody Ave , Memphis TN 38104-3550. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Martin, Rodney A can be contacted via phone (901) 276-6000.

Contact Information

Primary practice address
1286 Peabody Ave Memphis TN 38104-3550
Phone: (901) 276-6000
Fax: (901) 276-4000
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 19088 Tennessee

Profile Details

NPI number 1326005927
LBN Legal business name Martin, Rodney A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2006
Last updated Jan 13th, 2025 - about last year

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 1326005927 NPPES
Missouri MEDICAID 200141276
Missouri MEDICAID 122741001
Missouri MEDICAID 3066241
Missouri MEDICAID Q019276
Missouri Other 162842

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