Martin, Jean Ellen
Martin, Jean Ellen is an sole proprietor health care provider with primary practice located at 2824 Elkhart Rd , Goshen IN 46526-1014. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Martin, Jean Ellen can be contacted via phone (574) 535-1700.Contact Information
Primary practice address
2824 Elkhart Rd
Goshen IN 46526-1014
Phone: (574) 535-1700
Fax: (574) 535-1799
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71003218A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71003218A | Indiana |
Profile Details
| NPI number | 1518297779 |
|---|---|
| LBN Legal business name | Martin, Jean Ellen |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 11th, 2010 |
| Last updated | May 3rd, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518297779 | NPPES |
| Indiana | MEDICAID | 200981470 |
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