Louise Evelyn Martin in Warren - Specialist

Louise Evelyn Martin - NPI 1871680124

Louise Evelyn Martin is a Specialist in Warren, Michigan. Louise Evelyn Martin practices all healthcare services and medical treatments related to Specialist. The NPI Number for Louise Evelyn Martin is 1871680124. The last update date is 2007-07-08.

Louise Evelyn Martin's current location address is 11250 E 13 Mile Rd, Warren, Michigan. You can contact this provider via phone number 5867512520 and fax number 5867517004. The mailing address for Louise Evelyn Martin is 11250 E 13 Mile Rd, Warren, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Louise Evelyn Martin
Address 11250 E 13 Mile Rd, Warren, Michigan
Phone Number 5867512520
Fax Number 5867517004
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1871680124
Provider Enumeration Date 2006-10-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 11250 E 13 Mile Rd
City Warren
State Michigan (MI)
Post Code 480932597
Phone Number 5867512520
Fax Number 5867517004

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No 4301059389
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
LM059389 MI BCBSM

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FAQs about Louise Evelyn Martin

What is the unique 10-digit identification code issued to Louise Evelyn Martin by the Centers for Medicare & Medicaid Services?

The Louise Evelyn Martin has been assigned the NPI (National Provider Identifier) 1871680124 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical location address where Louise Evelyn Martin's facilities are situated?

The facilities of Louise Evelyn Martin are physically located at the following address: 11250 E 13 Mile Rd, Warren, MI, 480932597.

What is Louise Evelyn Martin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Louise Evelyn Martin is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date did the Louise Evelyn Martin receive its 1871680124 assignment from the Centers for Medicare & Medicaid Services?

The Louise Evelyn Martin was assigned its 1871680124 by the Centers for Medicare & Medicaid Services on 2006-10-06.

As of what date were the details related to Louise Evelyn Martin most recently updated or revised?

The information pertaining to Louise Evelyn Martin, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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