Martino, Michael Louis

Martino, Michael Louis is an individual health care provider with primary practice located at 2900 16Th St , Bedford IN 47421-3510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Martino, Michael Louis can be contacted via phone (812) 275-1381.

Contact Information

Primary practice address
2900 16Th St Bedford IN 47421-3510
Phone: (812) 275-1381
Fax: (812) 275-1299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 29148 West Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD073595L Pennsylvania
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01071930A Indiana

Profile Details

NPI number 1679598361
LBN Legal business name Martino, Michael Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Apr 13th, 2022 - about 4 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 1679598361 NPPES
Pennsylvania MEDICAID 001846035

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