Anderson, Martha Jane
Anderson, Martha Jane is an sole proprietor health care provider with primary practice located at Kutztown University Sports Medicine Kutztown University, Kutztown PA 19530-9446. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Anderson, Martha Jane can be contacted via phone (610) 683-4085.Contact Information
Primary practice address
Kutztown University Sports Medicine Kutztown University
Kutztown PA 19530-9446
Phone: (610) 683-4085
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | RT001363A | Pennsylvania |
Profile Details
| NPI number | 1184750572 |
|---|---|
| LBN Legal business name | Anderson, Martha Jane |
| Credentials | Athletic Trainer, Certified (ATC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1184750572 | NPPES |
| Pennsylvania | Other | RT001363A | STATE LICENSE # |
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