Individual
JOSEPH E MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13260 SERVICE RD, WALTON, KY 41094-9565
(859) 485-4116
(859) 485-1389
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 485-4116
(859) 485-1389
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35086287
OH
207R00000X
Internal Medicine Physician
Primary
41770
KY
208000000X
Pediatrics Physician
41770
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2598934
—
OH
05
—
7100057350
—
KY
01
—
P00633290
RAILROAD MEDICARE
KY
01
—
P00883415
RAILROAD MEDICARE
KY
Enumeration date
12/22/2005
Last updated
09/10/2018
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