Rayburn, Martin T
Rayburn, Martin T is an sole proprietor health care provider with primary practice located at 1411 Hatcher Lane , Columbia TN 38401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Rayburn, Martin T can be contacted via phone (931) 381-1499.Contact Information
Primary practice address
1411 Hatcher Lane
Columbia TN 38401
Phone: (931) 381-1499
Fax: (931) 381-1499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD3322 | Tennessee |
Profile Details
| NPI number | 1144381450 |
|---|---|
| LBN Legal business name | Rayburn, Martin T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Nov 13th, 2009 - about 17 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 | 1144381450 | NPPES |
| Tennessee | Other | 2003455 | BLUE CROSS |
| Tennessee | Other | 070016615 | BLUE CROSS |
| Tennessee | MEDICAID | 3118674 | BLUE CROSS |
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