Clinton, Martha W
Clinton, Martha W is an sole proprietor health care provider with primary practice located at 208 Prince St , Sevierville TN 37862-3821. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clinton, Martha W can be contacted via phone (865) 774-7481.Contact Information
Primary practice address
208 Prince St
Sevierville TN 37862-3821
Phone: (865) 774-7481
Fax: (865) 908-2455
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | APN5122 | Tennessee |
Profile Details
NPI number | 1245237726 |
---|---|
LBN Legal business name | Clinton, Martha W |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 30th, 2005 |
Last updated | Jul 7th, 2011 - about 13 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 | 1245237726 | NPPES |
Tennessee | MEDICAID | 3346980 |
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