Smith, Charlene Martin

Smith, Charlene Martin is an individual health care provider with primary practice located at 860 Omni Blvd Ste 110 , Newport News VA 23606-4430. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Smith, Charlene Martin can be contacted via phone (757) 232-8769.

Contact Information

Primary practice address
860 Omni Blvd Ste 110 Newport News VA 23606-4430
Phone: (757) 232-8769
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 0024170046 Virginia

Profile Details

NPI number 1326300294
LBN Legal business name Smith, Charlene Martin
Credentials Women's Health Nurse Practitioner (WHNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2012
Last updated Dec 10th, 2018 - about 6 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 1326300294 NPPES
Virginia Other 541188948 EMPLOYER'S TAX ID

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