Martin, Pamela Darlene

Martin, Pamela Darlene is an individual health care provider with primary practice located at 401 S Ballenger Hwy Attn Surgical Services, Flint MI 48532-3638. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Martin, Pamela Darlene can be contacted via phone (810) 342-4917.

Contact Information

Primary practice address
401 S Ballenger Hwy Attn Surgical Services Flint MI 48532-3638
Fax: (810) 342-1335
Website:

Health care specialties

Profile Details

NPI number 1730153370
LBN Legal business name Martin, Pamela Darlene
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 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 1730153370 NPPES
Michigan Other PS155031 BLUE SHIELD
Michigan MEDICAID 3411681 BLUE SHIELD

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