Martin, Amy G
Martin, Amy G is an individual health care provider with primary practice located at 345 Montauk Ave , New London CT 06320-4738. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Martin, Amy G can be contacted via phone (860) 444-6868.Contact Information
Primary practice address
345 Montauk Ave
New London CT 06320-4738
Phone: (860) 444-6868
Fax: (860) 437-0650
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Women's Health | 363LW0102X | 001886 | Connecticut |
Profile Details
| NPI number | 1447244504 |
|---|---|
| LBN Legal business name | Martin, Amy G |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 6th, 2005 |
| Last updated | Sep 3rd, 2014 - about 10 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 | 1447244504 | NPPES |
| Connecticut | Other | 101886 | CONNECTICARE |
| Connecticut | MEDICAID | 004197027 | CONNECTICARE |
| Connecticut | Other | 2V5539 | CONNECTICARE |
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