Martin, Mary Karen
Martin, Mary Karen is an sole proprietor health care provider with primary practice located at 7464 Tchulahoma Rd , Southaven MS 38671-9249. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Martin, Mary Karen can be contacted via phone (662) 349-2650.Contact Information
Primary practice address
7464 Tchulahoma Rd
Southaven MS 38671-9249
Phone: (662) 349-2650
Fax: (662) 349-4495
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 661 | Mississippi |
Profile Details
| NPI number | 1396838157 |
|---|---|
| LBN Legal business name | Martin, Mary Karen |
| Credentials | B.S., D.C. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 2nd, 2006 |
| Last updated | Feb 13th, 2019 - about 7 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 | 1396838157 | NPPES |
| Mississippi | Other | 8732762003 | CIGNA |
| Mississippi | Other | 4350358 | CIGNA |
| Mississippi | Other | 0053873 | CIGNA |
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