Allen, Martha L

Allen, Martha L is an sole proprietor health care provider with primary practice located at 1860 46 Street South , St. Petersburg FL 33711. She recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Transportation Services / Private Vehicle, Respite Care Facility / Respite Care. Nursing & Custodial Care Facilities / Assisted Living Facility is her primary health care specialty. Allen, Martha L can be contacted via phone (727) 565-3759.

Contact Information

Primary practice address
1860 46 Street South St. Petersburg FL 33711
Phone: (727) 565-3759
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X PN1270731 Florida
Transportation Services / Private Vehicle 347C00000X PN1270731 Florida
Respite Care Facility / Respite Care 385H00000X PN1270731 Florida

Profile Details

NPI number 1881998722
LBN Legal business name Allen, Martha L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 7th, 2011
Last updated Jan 7th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881998722 NPPES
Florida MEDICAID 691001796

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