Martino, Robert S

Martino, Robert S is an individual health care provider with primary practice located at 5587 Broadway , Merrillville IN 46410-2632. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Martino, Robert S can be contacted via phone (219) 887-9506.

Contact Information

Primary practice address
5587 Broadway Merrillville IN 46410-2632
Phone: (219) 887-9506
Fax: (219) 884-3761
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01020975 Indiana

Profile Details

NPI number 1861491383
LBN Legal business name Martino, Robert S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Dec 22nd, 2010 - 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 1861491383 NPPES
Indiana MEDICAID 100353200A
Indiana Other 000000081973

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