Martien, Katherine M
Martien, Katherine M is an individual health care provider with primary practice located at 1 Maguire Rd Lurie Center For Autism, Lexington MA 02421-3114. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Martien, Katherine M can be contacted via phone (781) 860-1700.Contact Information
Primary practice address
1 Maguire Rd Lurie Center For Autism
Lexington MA 02421-3114
Phone: (781) 860-1700
Fax: (781) 860-1766
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 54511 | Massachusetts |
Profile Details
NPI number | 1033109715 |
---|---|
LBN Legal business name | Martien, Katherine M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 25th, 2005 |
Last updated | Jan 18th, 2013 - about 12 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 | 1033109715 | NPPES |
Massachusetts | MEDICAID | 3058654 | |
Massachusetts | Other | 054511 | |
Massachusetts | Other | J09444 |
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