Stevens, Martha W

Stevens, Martha W is an individual health care provider with primary practice located at 1800 Orleans St # G-1509 Hospital Based @ Jhh-Bloomberg Children'S Center, Baltimore MD 21287-0010. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Stevens, Martha W can be contacted via phone (410) 955-6146.

Contact Information

Primary practice address
1800 Orleans St # G-1509 Hospital Based @ Jhh-Bloomberg Children'S Center Baltimore MD 21287-0010
Fax: (410) 614-7339
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X D0044281 Maryland

Profile Details

NPI number 1194771378
LBN Legal business name Stevens, Martha W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Apr 19th, 2017 - about 7 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 1194771378 NPPES
Maryland Other 781700401914 CCN
Maryland Other 219021401 CCN
Maryland MEDICAID 766621700 CCN
Maryland Other 257368Y18 CCN
Maryland Other 003000261Q CCN

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