Individual
THOMAS J MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 E MAIN ST, WORTHINGTON, IN 47471-1603
(812) 847-4481
(844) 658-7526
Mailing address
1185 N 1000 W, LINTON, IN 47441-5282
(812) 847-5212
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01037295
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000087924
ANTHEM PIN
IN
05
—
100186620B
—
IN
Enumeration date
08/01/2006
Last updated
01/17/2024
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