Green, Martha Kay
Green, Martha Kay is an individual health care provider with primary practice located at 500 N Washington Ave Ste 105 , Titusville FL 32796. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Green, Martha Kay can be contacted via phone (212) 680-2673.Contact Information
Primary practice address
500 N Washington Ave Ste 105
Titusville FL 32796
Phone: (212) 680-2673
Fax: (321) 268-3357
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP1800302 | Florida |
Profile Details
| NPI number | 1134366586 |
|---|---|
| LBN Legal business name | Green, Martha Kay |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 7th, 2009 |
| Last updated | Aug 27th, 2018 - about 6 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 | 1134366586 | NPPES |
| Florida | MEDICAID | 024818900 |
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