Martin, Kathleen E
Martin, Kathleen E is an individual health care provider with primary practice located at 790 College Pkwy , Colchester VT 05446-3007. 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, Kathleen E can be contacted via phone (802) 847-1170.Contact Information
Primary practice address
790 College Pkwy
Colchester VT 05446-3007
Phone: (802) 847-1170
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 1010023400 | Vermont |
Profile Details
| NPI number | 1346250123 |
|---|---|
| LBN Legal business name | Martin, Kathleen E |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346250123 | NPPES |
| Vermont | MEDICAID | ONP1066 |
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