Martin, Scot A

Martin, Scot A is an individual health care provider with primary practice located at 141 S Roadrunner Pkwy Suite 129, Las Cruces NM 88011-2006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Martin, Scot A can be contacted via phone (505) 521-7111.

Contact Information

Primary practice address
141 S Roadrunner Pkwy Suite 129 Las Cruces NM 88011-2006
Phone: (505) 521-7111
Fax: (505) 521-0563
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 20020069 New Mexico

Profile Details

NPI number 1013029776
LBN Legal business name Martin, Scot A
Credentials MD. PC.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Oct 11th, 2023 - about 3 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 1013029776 NPPES
New Mexico Other 00NM019760 BCBS NM
New Mexico MEDICAID 57836370 BCBS NM
New Mexico Other 753046022001 BCBS NM
New Mexico Other 772805 BCBS NM

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