Sheline, Martin Engwall

Sheline, Martin Engwall is an individual health care provider with primary practice located at 527 N. Palo Alto Ave , Panama City FL 32401-3639. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Sheline, Martin Engwall can be contacted via phone (850) 747-4905.

Contact Information

Primary practice address
527 N. Palo Alto Ave Panama City FL 32401-3639
Phone: (850) 747-4905
Fax: (850) 747-4907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 34710 Georgia
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME109093 Florida
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X ME109093 Florida

Profile Details

NPI number 1982638466
LBN Legal business name Sheline, Martin Engwall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2006
Last updated Oct 6th, 2011 - about 15 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 1982638466 NPPES
Florida MEDICAID 003672200
Florida Other 14E53

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