Martin, Carol A
Martin, Carol A is an individual health care provider with primary practice located at 1001 Towson Ave , Fort Smith AR 72901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Martin, Carol A can be contacted via phone (479) 709-7325.Contact Information
Primary practice address
1001 Towson Ave
Fort Smith AR 72901
Phone: (479) 709-7325
Fax: (479) 709-7335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | P01075 | Arkansas |
Profile Details
| NPI number | 1245227362 |
|---|---|
| LBN Legal business name | Martin, Carol A |
| Credentials | Registered Nurse Practitioner (RNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2005 |
| Last updated | Aug 4th, 2008 - 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 | 1245227362 | NPPES |
| Arkansas | MEDICAID | 148971758 | |
| Arkansas | MEDICAID | 200004770A |
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