Martin, Beth Ann
Martin, Beth Ann is an individual health care provider with primary practice located at 2003 Kootenai Health Way , Coeur D Alene ID 83814-6051. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Martin, Beth Ann can be contacted via phone (208) 625-6446.Contact Information
Primary practice address
2003 Kootenai Health Way
Coeur D Alene ID 83814-6051
Phone: (208) 625-6446
Fax: (208) 625-5931
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | M7951 | Idaho |
Profile Details
| NPI number | 1336150267 |
|---|---|
| LBN Legal business name | Martin, Beth Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Apr 19th, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1336150267 | NPPES |
| Idaho | Other | J3961 | BLUE CROSS OF IDAHO |
| Idaho | MEDICAID | 805743100 | BLUE CROSS OF IDAHO |
| Idaho | Other | 000010028237 | BLUE CROSS OF IDAHO |
| Idaho | MEDICAID | 8267098 | BLUE CROSS OF IDAHO |
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