Pinto, Martha Lane
Pinto, Martha Lane is an sole proprietor health care provider with primary practice located at 1504 Leander Rd , Georgetown TX 78628-8801. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Pinto, Martha Lane can be contacted via phone (512) 699-6503.Contact Information
Primary practice address
1504 Leander Rd
Georgetown TX 78628-8801
Phone: (512) 699-6503
Fax: (512) 864-0930
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 7235 | Texas |
Profile Details
| NPI number | 1790835148 |
|---|---|
| LBN Legal business name | Pinto, Martha Lane |
| Credentials | Master of Education (MED) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1790835148 | NPPES |
| Texas | Other | 11664017 | CAQH UNIVERSAL CREDENTIAL |
| Texas | MEDICAID | 1627838 | CAQH UNIVERSAL CREDENTIAL |
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