Lindstrom, Martha C

Lindstrom, Martha C is an individual health care provider with primary practice located at 801 S Milwaukee Ave , Libertyville IL 60048-3204. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Lindstrom, Martha C can be contacted via phone (414) 290-6720.

Contact Information

Primary practice address
801 S Milwaukee Ave Libertyville IL 60048-3204
Phone: (414) 290-6720
Fax: (414) 290-6755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209-008244 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 41341644 Illinois

Profile Details

NPI number 1861706160
LBN Legal business name Lindstrom, Martha C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2010
Last updated Apr 3rd, 2012 - about 14 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 1861706160 NPPES
Illinois Other P00932260 MEDICARE RAILROAD
Illinois Other 1861706160 MEDICARE RAILROAD

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