Teitelbaum, Mary Martha

Teitelbaum, Mary Martha is an individual health care provider with primary practice located at 565 Radio Hill Rd , Marion VA 24354-6587. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Emergency Medicine. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Teitelbaum, Mary Martha can be contacted via phone (276) 782-1234.

Contact Information

Primary practice address
565 Radio Hill Rd Marion VA 24354-6587
Phone: (276) 782-1234
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0110840860 Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0110840860 Virginia

Profile Details

NPI number 1467470138
LBN Legal business name Teitelbaum, Mary Martha
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Mar 14th, 2011 - about 14 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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