Martin, Thomas A

Martin, Thomas A is an sole proprietor health care provider with primary practice located at 307 Mill St , Danville PA 17821-1966. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Martin, Thomas A can be contacted via phone (570) 275-6080.

Contact Information

Primary practice address
307 Mill St Danville PA 17821-1966
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X PS005044L Pennsylvania

Profile Details

NPI number 1528284924
LBN Legal business name Martin, Thomas A
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 17th, 2007
Last updated Apr 24th, 2008 - about 17 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 1528284924 NPPES
Pennsylvania MEDICAID 1014889850001

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