Thompson, Martina

Thompson, Martina is an sole proprietor health care provider with primary practice located at 333 Irving Ave , Bridgeton NJ 08302-2123. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Thompson, Martina can be contacted via phone (856) 455-5555.

Contact Information

Primary practice address
333 Irving Ave Bridgeton NJ 08302-2123
Fax: (856) 455-5405
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1093949034
LBN Legal business name Thompson, Martina
Credentials Bachelor of Arts (BA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 5th, 2009
Last updated May 5th, 2009 - 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 1093949034 NPPES
New Jersey MEDICAID 1447337134

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