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Contact Information

THOMAS M MARTIN, RPT
39 WINDSOR DR
BRIDGEPORT, WV26330
 Phone: 304-842-3137
 Fax: 304-842-3138
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for THOMAS M MARTIN · (Male)

NPI Number 1497759450
Status Active
Credentials RPT
Entity Individual
Enumeration date 06/08/2005
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • WV License # 000437
  • WV Medicaid 7301125000
  • WV Other 5235074 AETNA
  • WV Other 33664 HEALTH ASSURANCE
  • WV Other WV51916B HEALTH PLAN
  • WV Other 398792 OPTIMUM CHOICE
  • WV Other 1382862 UMWA
  • WV Other 01071873100 WORKERS' COMPENSATION
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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