Martin, Susan C
Martin, Susan C is an individual health care provider with primary practice located at 1385 S Highland Ave Ste B1 , Jackson TN 38301-7547. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Martin, Susan C can be contacted via phone (314) 270-4707.Contact Information
Primary practice address
1385 S Highland Ave Ste B1
Jackson TN 38301-7547
Phone: (314) 270-4707
Fax: (731) 427-0995
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | APN11327 | Tennessee |
Profile Details
| NPI number | 1245227313 |
|---|---|
| LBN Legal business name | Martin, Susan C |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Mar 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245227313 | NPPES |
| Tennessee | MEDICAID | 3709355 |
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