Martin, Roberta

Martin, Roberta is an sole proprietor health care provider with primary practice located at 1000 S Mercer St 4Th Floor, New Castle PA 16101-4672. She recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as her primary health care specialty. Martin, Roberta can be contacted via phone (724) 658-4688.

Contact Information

Primary practice address
1000 S Mercer St 4Th Floor New Castle PA 16101-4672
Phone: (724) 658-4688
Fax: (724) 658-8810
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X RN502257L Pennsylvania

Profile Details

NPI number 1760500243
LBN Legal business name Martin, Roberta
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 26th, 2007
Last updated Jul 9th, 2007 - about 19 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 1760500243 NPPES
Pennsylvania MEDICAID 1016551700001

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