Martin, Charles Andrew

Martin, Charles Andrew is an individual health care provider with primary practice located at Medical Center Blvd , Winston Salem NC 27157-0001. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Martin, Charles Andrew can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address

Medical Center Blvd Winston Salem NC 27157-0001

Phone: (336) 716-2255

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Physician Assistants & Advanced Practice Nursing Providers / Surgical	363AS0400X	000100120	North Carolina

Profile Details

NPI number	1124002589
LBN Legal business name	Martin, Charles Andrew
Credentials	PAC
Entity	Individual
Sole proprietor ¹	No
Enumeration date	Nov 30th, 2005
Last updated	May 14th, 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.

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Identifiers

State	Type	Number	Issuer
All States	NPI	1124002589	NPPES
	Other	7845637	AETNA
	Other	94717	AETNA

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