Martin, Tera
Martin, Tera is an sole proprietor health care provider with primary practice located at 6201 Roosevelt Rd , Berwyn IL 60402-1108. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Martin, Tera can be contacted via phone (708) 386-0845.Contact Information
Primary practice address
6201 Roosevelt Rd
Berwyn IL 60402-1108
Phone: (708) 386-0845
Fax: (708) 386-8472
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 209.008078 | Illinois |
Profile Details
NPI number | 1265733349 |
---|---|
LBN Legal business name | Martin, Tera |
Credentials | Certified Nurse Midwife (CNM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 5th, 2010 |
Last updated | Jan 2nd, 2020 - about 5 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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