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:
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Health care specialties

SpecialtyCodeLicense #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 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245227362 NPPES
Arkansas MEDICAID 148971758
Arkansas MEDICAID 200004770A

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