Siegfried, Martin Robert

Siegfried, Martin Robert is an individual health care provider with primary practice located at 755 Walther Rd , Lawrenceville GA 30046-8725. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Siegfried, Martin Robert can be contacted via phone (770) 962-0399.

Contact Information

Primary practice address
755 Walther Rd Lawrenceville GA 30046-8725
Phone: (770) 962-0399
Fax: (770) 995-0533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 040787 Georgia

Profile Details

NPI number 1407821002
LBN Legal business name Siegfried, Martin Robert
Credentials M.D.,PHD.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2006
Last updated Jul 16th, 2021 - about 5 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 1407821002 NPPES
Georgia Other 001087 BLUE CROSS & BLUE SHIELD
Georgia MEDICAID 00735281A BLUE CROSS & BLUE SHIELD

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