Martin-Stoldt, Deborah L

Martin-Stoldt, Deborah L is an individual health care provider with primary practice located at 211 N Eddy St , South Bend IN 46617-2808. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Martin-Stoldt, Deborah L can be contacted via phone (574) 237-9261.

Contact Information

Primary practice address
211 N Eddy St South Bend IN 46617-2808
Phone: (574) 237-9261
Fax: (574) 237-9208
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 71001498A Indiana

Profile Details

NPI number 1801886171
LBN Legal business name Martin-Stoldt, Deborah L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2005
Last updated Aug 2nd, 2016 - about 10 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 1801886171 NPPES
Indiana MEDICAID 200423900
Indiana Other 000000559594
Indiana Other 000000526715

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