Martin, Shane L

Martin, Shane L is an individual health care provider with primary practice located at 20401 N 73Rd St Ste 160 , Scottsdale AZ 85255-4149. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Martin, Shane L can be contacted via phone (623) 208-7979.

Contact Information

Primary practice address
20401 N 73Rd St Ste 160 Scottsdale AZ 85255-4149
Phone: (623) 208-7979
Fax: (800) 483-0729
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 34339 Arizona

Profile Details

NPI number 1659351682
LBN Legal business name Martin, Shane L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Jan 1st, 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 1659351682 NPPES
Arizona MEDICAID 583819
Arizona Other 3Z5706

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