Martin, Jacqueline Marie

Martin, Jacqueline Marie is an individual health care provider with primary practice located at 950 Campbell Ave , West Haven CT 06516-2770. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Martin, Jacqueline Marie can be contacted via phone (203) 932-5711.

Contact Information

Primary practice address
950 Campbell Ave West Haven CT 06516-2770
Phone: (203) 932-5711
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2152 California

Profile Details

NPI number 1023011434
LBN Legal business name Martin, Jacqueline Marie
Credentials CRNA, MS
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2005
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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