Kearns, Martha Slade

Kearns, Martha Slade is an individual health care provider with primary practice located at 300 Lackawanna Ave Ste 200 , Scranton PA 18503-2001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Kearns, Martha Slade can be contacted via phone (570) 342-7864.

Contact Information

Primary practice address
300 Lackawanna Ave Ste 200 Scranton PA 18503-2001
Phone: (570) 342-7864
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 041826 Connecticut
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 10651 North Dakota
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD463373 Pennsylvania

Profile Details

NPI number 1649251224
LBN Legal business name Kearns, Martha Slade
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Sep 12th, 2022 - about 2 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 1649251224 NPPES
North Dakota MEDICAID 14287
North Dakota MEDICAID 001418260
North Dakota MEDICAID 103463715

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