O'Hara, Martha Jane

O'Hara, Martha Jane is an sole proprietor health care provider with primary practice located at 922 Henderson Dr , Jacksonville NC 28540-7420. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. O'Hara, Martha Jane can be contacted via phone (910) 346-1133.

Contact Information

Primary practice address
922 Henderson Dr Jacksonville NC 28540-7420
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 6710 North Carolina

Profile Details

NPI number 1033221775
LBN Legal business name O'Hara, Martha Jane
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033221775 NPPES
North Carolina MEDICAID 899006V

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