Martin, Walter A.

Martin, Walter A. is an individual health care provider with primary practice located at 251 E Antietam St , Hagerstown MD 21740-5724. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Martin, Walter A. can be contacted via phone (302) 709-4497.

Contact Information

Primary practice address
251 E Antietam St Hagerstown MD 21740-5724
Phone: (302) 709-4497
Fax: (302) 733-0854
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R148205 Maryland

Profile Details

NPI number 1003969585
LBN Legal business name Martin, Walter A.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Oct 9th, 2007 - about 19 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 1003969585 NPPES
Maryland Other R148205 LICENSE MARYLAND

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