Mondry, Martin G
Mondry, Martin G is an sole proprietor health care provider with primary practice located at 1613 N Mckenzie St , Foley AL 36535-2247. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Mondry, Martin G can be contacted via phone (770) 874-5439.Contact Information
Primary practice address
1613 N Mckenzie St
Foley AL 36535-2247
Phone: (770) 874-5439
Fax: (770) 874-5483
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 33096 | Wisconsin |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MD.30804 | Alabama |
Profile Details
| NPI number | 1881670552 |
|---|---|
| LBN Legal business name | Mondry, Martin G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2005 |
| Last updated | Mar 22nd, 2013 - about 13 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 | 1881670552 | NPPES |
| Wisconsin | Other | P00082072 | RAILROAD |
| Wisconsin | MEDICAID | 31895500 | RAILROAD |
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