Serven, Martha Ellen
Serven, Martha Ellen is an individual health care provider with primary practice located at 3015 Squalicum Pkwy Ste 180, Bellingham WA 98225-1945. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Serven, Martha Ellen can be contacted via phone (360) 733-5733.Contact Information
Primary practice address
3015 Squalicum Pkwy Ste 180
Bellingham WA 98225-1945
Phone: (360) 733-5733
Fax: (360) 733-1859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA10001727 | Washington |
Profile Details
| NPI number | 1144299850 |
|---|---|
| LBN Legal business name | Serven, Martha Ellen |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 15th, 2006 |
| Last updated | Oct 31st, 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 | 1144299850 | NPPES |
| Washington | MEDICAID | 7110646 |
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