Martin, Brenda K
Martin, Brenda K is an sole proprietor health care provider with primary practice located at 127 N Green St , Statesville NC 28677-5375. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Martin, Brenda K can be contacted via phone (704) 873-7816.Contact Information
Primary practice address
127 N Green St
Statesville NC 28677-5375
Phone: (704) 873-7816
Fax: (704) 873-7817
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C000613 | North Carolina |
Profile Details
| NPI number | 1053496406 |
|---|---|
| LBN Legal business name | Martin, Brenda K |
| Credentials | LCSW MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2006 |
| Last updated | Nov 17th, 2017 - about 8 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 | 1053496406 | NPPES |
| Other | P00426430 | RAILROAD MEDICARE | |
| Other | 1010X | RAILROAD MEDICARE | |
| Other | 1010X | RAILROAD MEDICARE | |
| MEDICAID | 6002130 | RAILROAD MEDICARE |
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