Martine, Andrew R

Martine, Andrew R is an individual health care provider with primary practice located at 615 S New Ballas Rd Dept Of Radiology, Saint Louis MO 63141-8221. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Martine, Andrew R can be contacted via phone (314) 251-6031.

Contact Information

Primary practice address
615 S New Ballas Rd Dept Of Radiology Saint Louis MO 63141-8221
Phone: (314) 251-6031
Fax: (314) 251-6343
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2001021768 Missouri

Profile Details

NPI number 1679573927
LBN Legal business name Martine, Andrew R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Sep 8th, 2009 - about 16 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 1679573927 NPPES
Missouri MEDICAID 207235409

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