Martin, Carolyn B
Martin, Carolyn B is an individual health care provider with primary practice located at 3510 Old Washington Road 2Nd Floor, Waldorf MD 20602. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Martin, Carolyn B can be contacted via phone (240) 427-1731.Contact Information
Primary practice address
3510 Old Washington Road 2Nd Floor
Waldorf MD 20602
Phone: (240) 427-1731
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | R110317 | Maryland |
Profile Details
| NPI number | 1720191455 |
|---|---|
| LBN Legal business name | Martin, Carolyn B |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1720191455 | NPPES |
| Maryland | Other | R110317 | STATE LICENSE |
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