National Provider Identifier Database

MARTIN MEDICAL GROUP LLC
Physician Assistant

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.


Contact Information

MARTIN MEDICAL GROUP LLC
115 GOLF COURSE RD STE E
LOGAN, UT84321-5934
Phone: 435-999-4059
Fax:
Website:
Specialty Taxonomy Code
* Physician Assistant 363A00000X
Emergency Medicine 207P00000X
Family Medicine 207Q00000X
Psychiatric/Mental Health 363LP0808X

* Indicates primary specialty

NPI Profile & details for MARTIN MEDICAL GROUP LLC

NPI Number 1467081448
Legal business name
LBN
MARTIN MEDICAL GROUP LLC
Authorized official COLBY MARTIN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 04/02/2020
Last updated 02/23/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • Other: 12627418 CAQH

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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