Individual
JOEL E MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10452 SILVERDALE WAY NW, SILVERDALE, WA 98383-9411
(360) 307-7300
Mailing address
10452 SILVERDALE WAY NW, SILVERDALE, WA 98383-9411
(360) 307-7300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
04-35296
KS
207R00000X
Internal Medicine Physician
MD418492
PA
207R00000X
Internal Medicine Physician
MD60092328
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019315930001
—
PA
01
—
068002138
MEDICARE PTAN
KS
01
—
1167MA
REGENCE
—
05
—
200748500A
—
KS
01
—
250587
LABOR & INDUSTRIES
WA
05
—
8548638
—
WA
01
—
P00343786
RAILROAD MEDICARE
PA
01
—
P00985818
RR MEDICARE
KS
Enumeration date
07/12/2006
Last updated
04/27/2021
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