DR. PAUL TIMOTHY MARTIN D.C. NPI 1437245107

NPI Information

NPI: 1437245107
Provider Name: DR. PAUL TIMOTHY MARTIN, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
9040 MILLBRANCH RD
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 342-1107
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DR. Paul Timothy Martin, D.C. is a chiropractor in Southaven, MS. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Paul Timothy Martin, D.C. NPI is 1437245107. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9040 MILLBRANCH RD
SOUTHAVEN, MS
ZIP 38671-420
Phone: (662) 342-1107
Fax: (662) 280-0178

The enumeration date for this NPI number is 10/4/2006 and was last updated on 1/23/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		754	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0123504	OTHER	TENNESSEE	BC/TN
2	35003502	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI	RAILROAD
3	6443272001	OTHER	MISSISSIPPI	CIGNA
4	T21016	MEDICARE UPIN	MISSISSIPPI
5	4350351	OTHER	MISSISSIPPI	AETNA
6	350000052	MEDICARE ID-TYPE UNSPECIFIED	MISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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