Martindale, Stephanie Ruth
Martindale, Stephanie Ruth is an individual health care provider with primary practice located at 4940 Eastern Ave , Baltimore MD 21224-2735. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Martindale, Stephanie Ruth can be contacted via phone (410) 550-0500.Contact Information
Primary practice address
4940 Eastern Ave
Baltimore MD 21224-2735
Phone: (410) 550-0500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 969 | Oklahoma |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | C03737 | Maryland |
Profile Details
| NPI number | 1477510808 |
|---|---|
| LBN Legal business name | Martindale, Stephanie Ruth |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Dec 18th, 2008 - about 17 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 | 1477510808 | NPPES |
| Oklahoma | Other | 970028541 | RR MEDICARE |
| Oklahoma | Other | 970028542 | RR MEDICARE |
| Oklahoma | MEDICAID | 100850300A | RR MEDICARE |
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