Provider Demographics
NPI:1093464851
Name:MARTIN, SYDNEY (DC)
Entity Type:Individual
Prefix:
First Name:SYDNEY
Middle Name:
Last Name:MARTIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:710 SHALLOW RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:ABINGDON
Mailing Address - State:MD
Mailing Address - Zip Code:21009-3016
Mailing Address - Country:US
Mailing Address - Phone:216-697-8301
Mailing Address - Fax:
Practice Address - Street 1:2105 LAUREL BUSH RD STE 103
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-6173
Practice Address - Country:US
Practice Address - Phone:443-512-0025
Practice Address - Fax:443-512-8844
Is Sole Proprietor?:No
Enumeration Date:2022-03-21
Last Update Date:2022-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS04126111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor