Martin, Suzanne Gabrielle
Martin, Suzanne Gabrielle is an sole proprietor health care provider with primary practice located at 100 Brewster Blvd Naval Hospital, Camp Lejeune NC 28547-2538. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Martin, Suzanne Gabrielle can be contacted via phone (910) 450-4159.Contact Information
Primary practice address
100 Brewster Blvd Naval Hospital
Camp Lejeune NC 28547-2538
Phone: (910) 450-4159
Fax: (910) 450-4194
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3267 | North Carolina |
Profile Details
NPI number | 1417983511 |
---|---|
LBN Legal business name | Martin, Suzanne Gabrielle |
Credentials | PSYD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 23rd, 2006 |
Last updated | Mar 8th, 2012 - about 12 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 | 1417983511 | NPPES |
Pennsylvania | MEDICAID | 0018539600001 |
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