Edward L Martin in Bridgeport - Chiropractor

Edward L Martin - NPI 1700821758

Edward L Martin is a Chiropractor in Bridgeport, Michigan. Edward L Martin practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Edward L Martin is 1700821758. The last update date is 2007-07-08.

Edward L Martin's current location address is 5905 W Rolling Hills Dr, Bridgeport, Michigan. You can contact this provider via phone number 9897778282 and fax number 9897778680. The mailing address for Edward L Martin is 5905 W Rolling Hills Dr, Bridgeport, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Edward L Martin
Address 5905 W Rolling Hills Dr, Bridgeport, Michigan
Phone Number 9897778282
Fax Number 9897778680
Sole Proprietor N
Credentials D.C.

NPI Number Detail

NPI Number 1700821758
Provider Enumeration Date 2006-06-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 5905 W Rolling Hills Dr
City Bridgeport
State Michigan (MI)
Post Code 487229656
Phone Number 9897778282
Fax Number 9897778680

Provider's Primary Taxonomy Detail

Speciality Chiropractor
Taxonomy 111N00000X
Licence No 2301006823
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0G31168 MI GROUP BLUE CROSS BLUE SHI
0G31169 MI BLUE CROSS BLUE SHIELD
997552 MI HEALTH PLUS

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FAQs about Edward L Martin

What is the unique 10-digit identifier code issued to Edward L Martin by the Centers for Medicare & Medicaid Services?

The Edward L Martin has been assigned the NPI (National Provider Identifier) 1700821758 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Edward L Martin is physically located?

The Edward L Martin is physically situated at the following address: 5905 W Rolling Hills Dr, Bridgeport, MI, 487229656.

What is Edward L Martin's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Edward L Martin's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.

On what date did the Edward L Martin receive the assignment of its 1700821758 from the Centers for Medicare & Medicaid Services?

The Edward L Martin was issued its 1700821758 by the Centers for Medicare & Medicaid Services on 2006-06-16.

As of what date was the information pertaining to Edward L Martin, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Edward L Martin, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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