Hall, Marta J

Hall, Marta J is an sole proprietor health care provider with primary practice located at 179 Main St Suite 412, Waterville ME 04901-6672. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Hall, Marta J can be contacted via phone (207) 861-4121.

Contact Information

Primary practice address
179 Main St Suite 412 Waterville ME 04901-6672
Phone: (207) 861-4121
Fax: (207) 861-4120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2006009318 Maine
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X CNP81799 Maine

Profile Details

NPI number 1164586418
LBN Legal business name Hall, Marta J
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 21st, 2006
Last updated Oct 22nd, 2020 - about 5 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 1164586418 NPPES
Maine MEDICAID 432351599

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