Schock, Martin Irvin

Schock, Martin Irvin is an individual health care provider with primary practice located at 11885 E 12 Mile Rd Suite 100A, Warren MI 48093-3474. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Schock, Martin Irvin can be contacted via phone (586) 576-1615.

Contact Information

Primary practice address
11885 E 12 Mile Rd Suite 100A Warren MI 48093-3474
Phone: (586) 576-1615
Fax: (586) 576-1628
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 4301027896 Michigan

Profile Details

NPI number 1063478428
LBN Legal business name Schock, Martin Irvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Feb 24th, 2016 - about 10 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 1063478428 NPPES
Michigan MEDICAID 1405362

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