Jessell, Martha A

Jessell, Martha A is an individual health care provider with primary practice located at 900 Bryan St Suite 5, Huntingdon PA 16652-2413. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Jessell, Martha A can be contacted via phone (814) 643-6300.

Contact Information

Primary practice address
900 Bryan St Suite 5 Huntingdon PA 16652-2413
Phone: (814) 643-6300
Fax: (814) 643-8776
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC001242 Pennsylvania

Profile Details

NPI number 1124130596
LBN Legal business name Jessell, Martha A
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 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 1124130596 NPPES
Pennsylvania Other 399222 VALUE OPTIONS
Pennsylvania Other 1469457 VALUE OPTIONS

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