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Contact Information

MIKE P MARTIN, DPM
1 CHOCTAW WAY
TALIHINA, OK74571-2022
 Phone: 918-567-7019
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Podiatric Medicine

213EP1101X 48 Podiatry
Indicates primary specialty

NPI Profile & details for MIKE P MARTIN · (Male)

NPI # 1639137516
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 05/02/2006
Last updated 11/07/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • MT License # 143
  • OK Medicaid 1499419
Hospital affiliation(s)
  • CHOCTAW NATION HEALTHCARE - (Acute Care)
    1 CHOCTAW WAY
    TALIHINA, OK 74571
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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