Martin, Christa D

Martin, Christa D is an sole proprietor health care provider with primary practice located at Box 11019 Asu 1901 Johnson Street, San Angelo TX 76909-1019. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as her primary health care specialty. Martin, Christa D can be contacted via phone (325) 942-2171.

Contact Information

Primary practice address
Box 11019 Asu 1901 Johnson Street San Angelo TX 76909-1019
Phone: (325) 942-2171
Fax: (325) 942-2133
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 540682 Texas

Profile Details

NPI number 1073588539
LBN Legal business name Martin, Christa D
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2006
Last updated Nov 15th, 2012 - about 13 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 1073588539 NPPES
Texas MEDICAID 176201501

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