Martin, Wanda Joy

Martin, Wanda Joy is an individual health care provider with primary practice located at 1221 S Broadway , Lexington KY 40504-2701. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Audiologist. Speech, Language and Hearing Service Providers / Audiologist is her primary health care specialty. Martin, Wanda Joy can be contacted via phone (859) 258-4371.

Contact Information

Primary practice address
1221 S Broadway Lexington KY 40504-2701
Phone: (859) 258-4371
Fax: (859) 258-4326
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X KY-0104 Kentucky
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 100867 Kentucky

Profile Details

NPI number 1881787398
LBN Legal business name Martin, Wanda Joy
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Jul 14th, 2022 - about 4 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 1881787398 NPPES
Kentucky MEDICAID 70001045

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