O'Danovich, Martha M
O'Danovich, Martha M is an individual health care provider with primary practice located at 8300 Broadway F1, Merrillville IN 46410-8602. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. O'Danovich, Martha M can be contacted via phone (219) 736-1000.Contact Information
Primary practice address
8300 Broadway F1
Merrillville IN 46410-8602
Phone: (219) 736-1000
Fax: (219) 736-9699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 35000126A | Indiana |
Profile Details
| NPI number | 1912992819 |
|---|---|
| LBN Legal business name | O'Danovich, Martha M |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2005 |
| Last updated | Aug 28th, 2014 - about 12 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 | 1912992819 | NPPES |
| Indiana | MEDICAID | 200136790 |
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