Martin, Kathleen

Martin, Kathleen is an individual health care provider with primary practice located at 211 Nautilus Dr Apt. #4, Madison WI 53705-4358. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Martin, Kathleen can be contacted via phone (608) 233-5778.

Contact Information

Primary practice address
211 Nautilus Dr Apt. #4 Madison WI 53705-4358
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 54768-030 Wisconsin

Profile Details

NPI number 1356300024
LBN Legal business name Martin, Kathleen
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1356300024 NPPES
Wisconsin MEDICAID 39834400

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