| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ELIZABETH M MARTIN | 1821478876 | 2022-01-05 |
Elizabeth M Chollet [F] graduated in 2015 and primarily specializes in Physician Assistant.
Elizabeth M Martin is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1821478876. Registration indicates Elizabeth M Martin is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| PECOS ID | 3476865668 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Elizabeth M Martin P.A. |
| Other Provider Name | Elizabeth M Chollet |
| Practice Office Address | 9555 76TH ST PLEASANT PRAIRI, WI US |
| Practice Office Telephone | 4142906720 |
| Practice Office Fax | 4142906755 |
| Mailing Address | 111 E WISCONSIN AVE SUITE 2000 MILWAUKEE, WI 532024815 US |
| Business Telephone | 4142906720 |
| Business Fax | 4142906755 |
| Direct Messaging Address [CDA/CCD/TXT] | [email protected] | Direct |
| Code | Practice | License No State |
|---|---|---|
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 3530-23
WI |