Mr. Michael Lloyd Martin
Prosthetist
4301 N Classen Blvd
Oklahoma City
, Oklahoma 73118-5031
Mr. Michael Lloyd Martin
Prosthetist
4301 N Classen Blvd
Oklahoma City
, Oklahoma 73118-5031
(405) 530-3670
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About
Features
Specialties
- Prosthetist
Languages spoken
- English
Location
First Address
- Mr. Michael Lloyd Martin
- 4301 N Classen Blvd
- Oklahoma City, OK
- Zip : 73118-5031
- Fax : (405) 530-3670
- Phone : (405) 525-4000
Second Address
- Mr. Michael Lloyd Martin
- 4301 N Classen Blvd
- Oklahoma City, OK
- Zip : 73118-5031
- Fax : (405) 530-3670
- Phone : (405) 525-4000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | LP30 | OK |
National Provider Identifier
| NPI | 1104181817 |
|---|---|
| Provider Name | Mr. Michael Lloyd Martin |
| First Address | Oklahoma City, OK 73118-5031 |
| Second Address | Oklahoma City, OK 73118-5031 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/07/2012 |
| Last Update Date | 09/07/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| CP2599 | AMERICAN BOARD FOR CERTIFICATION IN ORTHOTICS & PROSTHETICS (01) | |
| LP30 | OKLAHOMA BOARD OF MEDICAL LICENSURE & SUPERVISION FOR ORTHOTICS & PROSTHETICS (01) | OK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.