Collette Martin, PA-C
Physician Assistant in West Hartford, Connecticut
1205611431- Practice location
- 125 Lasalle RD Ste 208, West Hartford, CT 06107-2311
- Phone
- 860-906-1289
- Fax
- 860-906-1269
- Last updated
- September 8, 2024
Collette Martin is a Physician Assistant based in West Hartford, CT. Collette Martin practices in West Hartford, CT and has the professional credentials of PA-C. The NPI Number for Collette Martin is 1205611431 and holds a License No. 6253 (CT). The current practice location address for Collette Martin is 125 Lasalle RD Ste 208, West Hartford, CT 06107-2311 and can be reached out via phone at 860-906-1289 and via fax at 860-906-1269.
Provider Profile Details
- NPI Number
- 1205611431
- Provider Name
- Collette Martin
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 125 Lasalle RD Ste 208, West Hartford, CT 06107-2311
- Phone Number
- 860-906-1289
- Fax Number
- 860-906-1269
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 28, 2023
- Last Update Date
- September 8, 2024
- Certification Date
- September 8, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 125 Lasalle RD Ste 208
West Hartford, CT 06107-2311 - City
- West Hartford
- State
- Connecticut
- Zip
- 06107-2311
- Phone Number
- 860-906-1289
- Fax Number
- 860-906-1269
Provider Business Mailing Address Details
- Address
- 125 Lasalle RD Ste 208
West Hartford, CT 06107-2311 - City
- West Hartford
- State
- CT
- Zip
- 06107-2311
- Phone Number
- 860-906-1289
- Fax Number
- 860-906-1269
License Information
- License Number
- 6253
- License State
- CT
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Collette Martin, PA-C?
The NPI number of Collette Martin, PA-C is 1205611431. It was assigned on August 28, 2023 and is currently active in the NPPES registry.
What is the specialty of Collette Martin, PA-C?
Collette Martin, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in CT under license number 6253.
Where does Collette Martin, PA-C practice?
The practice location is 125 Lasalle RD Ste 208, West Hartford, CT 06107-2311. The office can be reached at 860-906-1289 (phone) or 860-906-1269 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205611431 directly on the NPPES registry website.