Martin, Gina

Martin, Gina is an individual health care provider with primary practice located at 1500 Dixon St #202 , Fredericksburg VA 22401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Martin, Gina can be contacted via phone (540) 370-0430.

Contact Information

Primary practice address
1500 Dixon St #202 Fredericksburg VA 22401
Phone: (540) 370-0430
Fax: (540) 370-0021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 0024164764 Virginia

Profile Details

NPI number 1437127917
LBN Legal business name Martin, Gina
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Sep 17th, 2012 - about 12 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 1437127917 NPPES
District of Columbia Other 0087 CAREFIRST BC OF NCA NUMBE
District of Columbia MEDICAID 010064741 CAREFIRST BC OF NCA NUMBE
District of Columbia MEDICAID 040593900 CAREFIRST BC OF NCA NUMBE
District of Columbia Other 64135601 CAREFIRST BC OF NCA NUMBE

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