Sample, Martin

Sample, Martin is an individual health care provider with primary practice located at 1101 Nott St , Schenectady NY 12308-2425. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Sample, Martin can be contacted via phone (518) 243-4000.

Contact Information

Primary practice address
1101 Nott St Schenectady NY 12308-2425
Phone: (518) 243-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 010377 New York

Profile Details

NPI number 1013038975
LBN Legal business name Sample, Martin
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Jul 22nd, 2015 - about 11 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 1013038975 NPPES
Other 3013540 MVP
Other 000413205001 MVP
Other 070808000134 MVP
MEDICAID 03875261 MVP
Other 110126992 MVP

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