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
Fax: (770) 874-5483
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881670552 NPPES
Wisconsin Other P00082072 RAILROAD
Wisconsin MEDICAID 31895500 RAILROAD

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