Martin, Geralyn
Martin, Geralyn is an individual health care provider with primary practice located at 4510 Frederick Ave , Saint Joseph MO 64506-3238. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Martin, Geralyn can be contacted via phone (816) 364-9992.Contact Information
Primary practice address
4510 Frederick Ave
Saint Joseph MO 64506-3238
Phone: (816) 364-9992
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 54483 | Kansas |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 54483 | Kansas |
Profile Details
| NPI number | 1043253560 |
|---|---|
| LBN Legal business name | Martin, Geralyn |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Oct 22nd, 2008 - about 18 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 | 1043253560 | NPPES |
| Kansas | Other | P00455330 | RAILROAD MEDICARE |
| Kansas | Other | 104325356000 | RAILROAD MEDICARE |
| Kansas | Other | 146035 | RAILROAD MEDICARE |
| Kansas | Other | 8167 | RAILROAD MEDICARE |
| Kansas | MEDICAID | 917024705 | RAILROAD MEDICARE |
| Kansas | MEDICAID | 200536930A | RAILROAD MEDICARE |
| Kansas | Other | 39351017 | RAILROAD MEDICARE |
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