Martin-Williams, Mary Angela

Martin-Williams, Mary Angela is an individual health care provider with primary practice located at 2770 Centennial Rd , Toledo OH 43617-1829. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Martin-Williams, Mary Angela can be contacted via phone (419) 794-0567.

Contact Information

Primary practice address
2770 Centennial Rd Toledo OH 43617-1829
Phone: (419) 794-0567
Fax: (419) 794-0569
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X COA.14311-NP Ohio

Profile Details

NPI number 1174863609
LBN Legal business name Martin-Williams, Mary Angela
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2013
Last updated Mar 25th, 2015 - about 11 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 1174863609 NPPES
Ohio MEDICAID 0111053

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