Martin, Ann Michele

Martin, Ann Michele is an individual health care provider with primary practice located at 4414 Lake Boone Trl Ste 210, Raleigh NC 27607-7505. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Martin, Ann Michele can be contacted via phone (919) 571-1040.

Contact Information

Primary practice address
4414 Lake Boone Trl Ste 210 Raleigh NC 27607-7505
Phone: (919) 571-1040
Fax: (919) 781-0247
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 9700658 North Carolina

Profile Details

NPI number 1194720565
LBN Legal business name Martin, Ann Michele
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Aug 6th, 2014 - about 11 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 1194720565 NPPES
Other 1040P BCBS
MEDICAID 891040P BCBS

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