Martin, Terri Lynn

Martin, Terri Lynn is an individual health care provider with primary practice located at 16115 Saint Vincent Way Suite 300, Little Rock AR 72223-3000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Martin, Terri Lynn can be contacted via phone (501) 817-3923.

Contact Information

Primary practice address
16115 Saint Vincent Way Suite 300 Little Rock AR 72223-3000
Phone: (501) 817-3923
Fax: (501) 817-3930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X E1302 Arkansas

Profile Details

NPI number 1093830150
LBN Legal business name Martin, Terri Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Jan 5th, 2017 - about 9 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 1093830150 NPPES
Arkansas MEDICAID 131957001

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