Martin, Sandra L
Martin, Sandra L is an sole proprietor health care provider with primary practice located at 100 Navarre Pl Suite 6600, South Bend IN 46601-1156. 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, Sandra L can be contacted via phone (574) 232-7227.Contact Information
Primary practice address
100 Navarre Pl Suite 6600
South Bend IN 46601-1156
Phone: (574) 232-7227
Fax: (574) 232-2064
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 71001851A | Indiana |
Profile Details
| NPI number | 1851373898 |
|---|---|
| LBN Legal business name | Martin, Sandra L |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2005 |
| Last updated | Mar 30th, 2021 - about 3 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 | 1851373898 | NPPES |
| Indiana | Other | 000000742868 | BCBS |
| Indiana | MEDICAID | 200303930 | BCBS |
| Indiana | Other | 352145705 | BCBS |
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