Martin, Ardella Rae

Martin, Ardella Rae is an sole proprietor health care provider with primary practice located at 1632 Busseron St , Vincennes IN 47591-5550. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Martin, Ardella Rae can be contacted via phone (812) 895-0644.

Contact Information

Primary practice address
1632 Busseron St Vincennes IN 47591-5550

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X PZ0691 Indiana

Profile Details

NPI number 1316061666
LBN Legal business name Martin, Ardella Rae
Credentials CASE MANAGER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2007
Last updated Sep 25th, 2008 - 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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All States NPI 1316061666 NPPES
Indiana MEDICAID 200377980A

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