Martin, Patti L

Martin, Patti L is an individual health care provider with primary practice located at 3333 W Deyoung St , Marion IL 62959-5884. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Martin, Patti L can be contacted via phone (618) 998-7000.

Contact Information

Primary practice address
3333 W Deyoung St Marion IL 62959-5884
Phone: (618) 998-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209000493 Illinois

Profile Details

NPI number 1699723254
LBN Legal business name Martin, Patti L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jun 16th, 2008 - about 16 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 1699723254 NPPES
Other P00317454 RR MEDICARE HEARTLAND

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