Martin, Carolyn B

Martin, Carolyn B is an individual health care provider with primary practice located at 3510 Old Washington Road 2Nd Floor, Waldorf MD 20602. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Martin, Carolyn B can be contacted via phone (240) 427-1731.

Contact Information

Primary practice address
3510 Old Washington Road 2Nd Floor Waldorf MD 20602
Phone: (240) 427-1731
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R110317 Maryland

Profile Details

NPI number 1720191455
LBN Legal business name Martin, Carolyn B
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720191455 NPPES
Maryland Other R110317 STATE LICENSE

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