Wurst, Martine Elizabeth

Wurst, Martine Elizabeth is an individual health care provider with primary practice located at 991 W Hudson Blvd , Gastonia NC 28052-6430. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Wurst, Martine Elizabeth can be contacted via phone (704) 852-5294.

Contact Information

Primary practice address
991 W Hudson Blvd Gastonia NC 28052-6430
Phone: (704) 852-5294
Fax: (704) 862-5383
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 102599 North Carolina

Profile Details

NPI number 1801892807
LBN Legal business name Wurst, Martine Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Nov 5th, 2019 - about 7 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 1801892807 NPPES
North Carolina MEDICAID 341849

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