Martin, Evan Keller

Martin, Evan Keller is an sole proprietor health care provider with primary practice located at 1037 Conneaut Ave Suite 201, Bowling Green OH 43402-5301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Martin, Evan Keller can be contacted via phone (419) 373-6046.

Contact Information

Primary practice address
1037 Conneaut Ave Suite 201 Bowling Green OH 43402-5301
Phone: (419) 373-6046
Fax: (419) 352-9048
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50.001611 Ohio

Profile Details

NPI number 1134469265
LBN Legal business name Martin, Evan Keller
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 27th, 2013
Last updated Feb 27th, 2013 - about 13 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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