Martin, Kristen Jean

Martin, Kristen Jean is an individual health care provider with primary practice located at 8000 Melton Rd , Gary IN 46403-3114. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Martin, Kristen Jean can be contacted via phone (219) 938-4651.

Contact Information

Primary practice address
8000 Melton Rd Gary IN 46403-3114
Phone: (219) 938-4651
Fax: (219) 938-4679
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 99090505A Indiana

Profile Details

NPI number 1811543697
LBN Legal business name Martin, Kristen Jean
Credentials MATS LSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2019
Last updated Aug 16th, 2019 - about 6 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 1811543697 NPPES
Indiana MEDICAID 1841412996

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