Griffin Martin, Theresa Ann

Griffin Martin, Theresa Ann is an individual health care provider with primary practice located at 238 S Meridian Rd Ste B , Youngstown OH 44509-2925. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Griffin Martin, Theresa Ann can be contacted via phone (330) 754-3217.

Contact Information

Primary practice address
238 S Meridian Rd Ste B Youngstown OH 44509-2925
Phone: (330) 754-3217
Fax: (330) 752-9284
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50.000540RX Ohio

Profile Details

NPI number 1952398232
LBN Legal business name Griffin Martin, Theresa Ann
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Jun 29th, 2022 - about 4 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 1952398232 NPPES
Ohio MEDICAID 0073657

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