Ireland, Martha H
Ireland, Martha H is an sole proprietor health care provider with primary practice located at 23077 Charmay Pond Pl , Brambleton VA 20148-7241. 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. Ireland, Martha H can be contacted via phone (703) 722-2324.Contact Information
Primary practice address
23077 Charmay Pond Pl
Brambleton VA 20148-7241
Phone: (703) 722-2324
Fax: (703) 327-6933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | RN1018651 | District of Columbia |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | 29NJ00296400 | New Jersey |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | LE0000104 | Delaware |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | AC000754 | Maryland |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | 1954 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | 94537 | Florida |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 364SP0808X | 0015000530 | Virginia |
Profile Details
| NPI number | 1508448820 |
|---|---|
| LBN Legal business name | Ireland, Martha H |
| Credentials | PHD, RN, CS, CEDS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2021 |
| Last updated | Apr 30th, 2021 - about 3 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 | 1508448820 | NPPES |
| Other | 1891904900 | NOT A PROVIDER FOR MEDICARE |
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