Charles D Martin in Edgewater - Chiropractor
Charles D Martin - NPI 1336234137
Charles D Martin is a Chiropractor in Edgewater, Florida. Charles D Martin practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Charles D Martin is 1336234137. The last update date is 2007-09-28.
Charles D Martin's current location address is 2568 S Ridgewood Ave, Edgewater, Florida. You can contact this provider via phone number 3864278403. The mailing address for Charles D Martin is 2568 S Ridgewood Ave, Edgewater, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles D Martin |
|---|---|
| Address | 2568 S Ridgewood Ave, Edgewater, Florida |
| Phone Number | 3864278403 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DC |
NPI Number Detail
| NPI Number | 1336234137 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2007-09-28 |
Provider Mailing Address Detail
| Address | 2568 S Ridgewood Ave |
|---|---|
| City | Edgewater |
| State | Florida (FL) |
| Post Code | 321415980 |
| Phone Number | 3864278403 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH3303 |
|
Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| AD239 | FL | MEDICARE GROUP ID | |
| 88572 | FL | BCBS |
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What is the unique identification code assigned to Charles D Martin by the Centers for Medicare & Medicaid Services?
The Charles D Martin has been issued the NPI (National Provider Identifier) 1336234137. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Charles D Martin is located?
The Charles D Martin is situated at the following address: 2568 S Ridgewood Ave, Edgewater, FL, 321415980.
What is Charles D Martin's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Charles D Martin is Chiropractor, and the taxonomy code that categorizes this field of expertise is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1336234137 to Charles D Martin?
The Charles D Martin received its 1336234137 assignment from the Centers for Medicare & Medicaid Services on 2006-10-04.
As of what date were the details pertaining to Charles D Martin last refreshed?
The information related to the Charles D Martin, including its address, specialty, and other relevant details, was last updated on 2007-09-28.