Miner, Martin M.

Miner, Martin M. is an individual health care provider with primary practice located at 164 Summit Ave Fain Blding, Providence RI 02906-2853. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Miner, Martin M. can be contacted via phone (401) 793-4636.

Contact Information

Primary practice address
164 Summit Ave Fain Blding Providence RI 02906-2853
Phone: (401) 793-4636
Fax: (401) 793-4639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 6413 Rhode Island

Profile Details

NPI number 1083678023
LBN Legal business name Miner, Martin M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Jul 9th, 2013 - about 12 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 1083678023 NPPES
Rhode Island MEDICAID MM71802

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