Martin, William Gregory
Martin, William Gregory is an sole proprietor health care provider with primary practice located at 3220 Irvin Cobb Dr , Paducah KY 42003-0337. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Martin, William Gregory can be contacted via phone (270) 442-5342.Contact Information
Primary practice address
3220 Irvin Cobb Dr
Paducah KY 42003-0337
Phone: (270) 442-5342
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1219 DT | Kentucky |
Profile Details
| NPI number | 1831232503 |
|---|---|
| LBN Legal business name | Martin, William Gregory |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 14th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1831232503 | NPPES |
| Kentucky | MEDICAID | 77012193 |
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