Martin, Mary Elizabeth

Martin, Mary Elizabeth is an individual health care provider with primary practice located at Business Route 209 And Bossardsville Road , Sciota PA 18354. She recently has only one registered license in Nursing Service Providers / Gerontology, which is considered as her primary health care specialty. Martin, Mary Elizabeth can be contacted via phone (570) 992-6300.

Contact Information

Primary practice address
Business Route 209 And Bossardsville Road Sciota PA 18354
Phone: (570) 992-6300
Fax: (570) 402-2900
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Gerontology 163WG0600X RN243814L Pennsylvania

Profile Details

NPI number 1902095193
LBN Legal business name Martin, Mary Elizabeth
Credentials RN, BS,BSN
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2007
Last updated Oct 24th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902095193 NPPES
Pennsylvania MEDICAID 0016671410002

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