Loftis, Martha Sample
Loftis, Martha Sample is an sole proprietor health care provider with primary practice located at 3813 Iron Works Rd , Reidsville NC 27320-8420. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Loftis, Martha Sample can be contacted via phone (704) 500-2249.Contact Information
Primary practice address
3813 Iron Works Rd
Reidsville NC 27320-8420
Phone: (704) 500-2249
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4714 | North Carolina |
Profile Details
| NPI number | 1518082403 |
|---|---|
| LBN Legal business name | Loftis, Martha Sample |
| Credentials | NCC, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1518082403 | NPPES |
| North Carolina | MEDICAID | 6103223 |
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