Martha L Virgin in South Portland - Clinical
Martha L Virgin - NPI 1568472280
Martha L Virgin is a Clinical in South Portland, Maine. Martha L Virgin practices all healthcare services and medical treatments related to Clinical. The NPI Number for Martha L Virgin is 1568472280. The last update date is 2010-04-01.
Martha L Virgin's current location address is 78 Atlantic Place, South Portland, Maine. You can contact this provider via phone number 2078426556 and fax number 2078427773. The mailing address for Martha L Virgin is 78 Atlantic Place, South Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Martha L Virgin |
|---|---|
| Address | 78 Atlantic Place, South Portland, Maine |
| Phone Number | 2078426556 |
| Fax Number | 2078427773 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1568472280 |
|---|---|
| Provider Enumeration Date | 2006-08-08 |
| Last Updated Date | 2010-04-01 |
Provider Mailing Address Detail
| Address | 78 Atlantic Place |
|---|---|
| City | South Portland |
| State | Maine (ME) |
| Post Code | 41062316 |
| Phone Number | 2078426556 |
| Fax Number | 2078427773 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | LC2663 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 432011699 | ME | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Martha L Virgin by the Centers for Medicare & Medicaid Services (CMS)?
The Martha L Virgin has been assigned the NPI (National Provider Identifier) 1568472280. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Martha L Virgin?
The Martha L Virgin is situated at 78 Atlantic Place, in the city of South Portland, state of ME, with the zip code 41062316.
What is Martha L Virgin's area of expertise and its corresponding taxonomy classification?
The Martha L Virgin's field of specialization is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1568472280 to Martha L Virgin?
The Centers for Medicare & Medicaid Services originally issued the 1568472280 to Martha L Virgin on 2006-08-08.
When was the information regarding Martha L Virgin most recently updated?
The details pertaining to the Martha L Virgin, including its address, specialty, and other relevant information, were last refreshed on 2010-04-01.