Churchill, Martha Elizabeth

Churchill, Martha Elizabeth is an individual health care provider with primary practice located at 353 Blair Park Rd , Williston VT 05495-7530. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Churchill, Martha Elizabeth can be contacted via phone (802) 847-1245.

Contact Information

Primary practice address
353 Blair Park Rd Williston VT 05495-7530
Phone: (802) 847-1245
Fax: (802) 847-6472
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 101-0020572 Vermont

Profile Details

NPI number 1285741157
LBN Legal business name Churchill, Martha Elizabeth
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285741157 NPPES
Vermont MEDICAID 1004465

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