Healthcare Provider Details

I. General information

NPI: 1609989128
Provider Name (Legal Business Name): MARTEL'S SELF CARE PRODUCTS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

68 SCHOOL ST
ALLENSTOWN NH
03275-1978
US

IV. Provider business mailing address

PO BOX 573
ALLENSTOWN NH
03275-0573
US

V. Phone/Fax

Practice location:
  • Phone: 603-485-3490
  • Fax: 603-485-4849
Mailing address:
  • Phone: 603-485-3490
  • Fax: 603-485-4849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier80001865
Identifier TypeMEDICAID
Identifier StateNH
Identifier Issuer

VIII. Authorized Official

Name: MRS. VANESSA L PLOURDE
Title or Position: PRESIDENT
Credential:
Phone: 603-485-3490