Ketteridge, Martha L

Ketteridge, Martha L is an sole proprietor health care provider with primary practice located at 210 E Main St Ste 5, Huntington NY 11743-2979. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Ketteridge, Martha L can be contacted via phone (631) 864-1795.

Contact Information

Primary practice address
210 E Main St Ste 5 Huntington NY 11743-2979
Phone: (631) 864-1795
Fax: (631) 864-1795
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 364SP0808X F400635 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F400635 Florida

Profile Details

NPI number 1952488454
LBN Legal business name Ketteridge, Martha L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Mar 8th, 2019 - 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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