Martin, Karen M

Martin, Karen M is an individual health care provider with primary practice located at 3301 Dayton Xenia Rd Ste 200 , Beavercreek OH 45432-2759. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Martin, Karen M can be contacted via phone (937) 641-5098.

Contact Information

Primary practice address
3301 Dayton Xenia Rd Ste 200 Beavercreek OH 45432-2759
Phone: (937) 641-5098
Fax: (937) 912-9395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN.CNP.09018 Ohio

Profile Details

NPI number 1174616486
LBN Legal business name Martin, Karen M
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Oct 13th, 2023 - about 3 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 1174616486 NPPES
Ohio MEDICAID 2697710

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