Martz, Wendell D

Martz, Wendell D is an sole proprietor health care provider with primary practice located at 112 N 7Th St , Chambersburg PA 17201-1700. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Martz, Wendell D can be contacted via phone (717) 267-7164.

Contact Information

Primary practice address
112 N 7Th St Chambersburg PA 17201-1700
Phone: (717) 267-7164
Fax: (717) 267-7414
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN328684L Pennsylvania

Profile Details

NPI number 1285627810
LBN Legal business name Martz, Wendell D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2005
Last updated Oct 21st, 2021 - about 4 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 1285627810 NPPES
Pennsylvania Other 1007307260035 MEDICAID GROUP #
Pennsylvania Other 120420418 MEDICAID GROUP #
Pennsylvania Other 050514 MEDICAID GROUP #
Pennsylvania Other 25-1716306 MEDICAID GROUP #
Pennsylvania Other 50073152 MEDICAID GROUP #
Pennsylvania Other G920-0088/85XWCU MEDICAID GROUP #
Pennsylvania Other 25-1716306 MEDICAID GROUP #
Pennsylvania Other RN328684L MEDICAID GROUP #
Pennsylvania Other P00618649 MEDICAID GROUP #
Pennsylvania MEDICAID 101983977 MEDICAID GROUP #
Pennsylvania Other 238574 MEDICAID GROUP #
Pennsylvania Other PEARL PROVIDER MEDICAID GROUP #

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