Martin, Mary Ann
Martin, Mary Ann is an individual health care provider with primary practice located at 839 Majestic Ct Ste 1 , Gastonia NC 28054-5152. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Martin, Mary Ann can be contacted via phone (704) 867-6188.Contact Information
Primary practice address
839 Majestic Ct Ste 1
Gastonia NC 28054-5152
Phone: (704) 867-6188
Fax: (704) 866-6070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 0050-02313 | North Carolina |
Profile Details
| NPI number | 1598821191 |
|---|---|
| LBN Legal business name | Martin, Mary Ann |
| Credentials | MHNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 28th, 2006 |
| Last updated | Jul 26th, 2009 - about 15 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 | 1598821191 | NPPES |
| North Carolina | MEDICAID | 6113022 |
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