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Contact Information

JUANETTA MARTIN, LPN
8057 WILLIARD RD
BASTROP, LA71220-8939
 Phone: 318-556-0043
 Fax: 318-556-3633
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
Indicates primary specialty

NPI Profile & details for JUANETTA MARTIN · (Female)

NPI # 1972650653
Status Active
Credentials LPN (Licensed Practical Nurse)
Entity Individual
Enumeration date 01/04/2007
Last updated 07/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 900889
  • LA Medicaid 1171506
  • LA Medicaid 1564761
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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