Martin, Stanley Ian

Martin, Stanley Ian is an individual health care provider with primary practice located at 100 N Academy Ave , Danville PA 17822-1240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Martin, Stanley Ian can be contacted via phone (570) 271-6408.

Contact Information

Primary practice address
100 N Academy Ave Danville PA 17822-1240
Phone: (570) 271-6408
Fax: (570) 271-5845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 088082 Ohio
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD454708 Pennsylvania

Profile Details

NPI number 1861482069
LBN Legal business name Martin, Stanley Ian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2005
Last updated Aug 31st, 2020 - about 6 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 1861482069 NPPES
Ohio MEDICAID 2664139

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