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Contact Information

TREVER J MARTIN, DPM
1024 E LOCUST ST
EMMETT, ID83617
 Phone: 208-365-2338
 Fax: 208-365-0677
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
Indicates primary specialty

NPI Profile & details for TREVER J MARTIN · (Male)

NPI # 1316236797
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 04/06/2011
Last updated 04/09/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • ID License # P-227
  • ID Other 20005139 MEDICARE PTAN
  • ID Other 1316236797 NPI
  • ID Other 820382500 TAX ID
Hospital affiliation(s)
  • WALTER KNOX MEMORIAL HOSPITAL - (Critical Access)
    1202 EAST LOCUST STREET
    EMMETT, ID 83617
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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