Martin, Andrea Mae
Martin, Andrea Mae is an individual health care provider with primary practice located at 105 Adair St , Beckley WV 25801-3791. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Martin, Andrea Mae can be contacted via phone (304) 256-4500.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / School | 163WS0200X | 51243 | West Virginia |
Profile Details
| NPI number | 1629626841 |
|---|---|
| LBN Legal business name | Martin, Andrea Mae |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2019 |
| Last updated | Aug 30th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629626841 | NPPES |
| West Virginia | MEDICAID | 163W50200X |
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