Martin, Stephen Douglas
Martin, Stephen Douglas is an sole proprietor health care provider with primary practice located at 1401 N Himes Ave , Tampa FL 33607. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Martin, Stephen Douglas can be contacted via phone (813) 393-3725.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA 9101220 | Florida |
Profile Details
| NPI number | 1619916202 |
|---|---|
| LBN Legal business name | Martin, Stephen Douglas |
| Credentials | AGC, MPAS, PA-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Jul 1st, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619916202 | NPPES |
| Florida | Other | 9101220 | PA LICENSE NUMBER |
| Florida | Other | U6812Z | PA LICENSE NUMBER |
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