Provider Demographics
NPI:1609478999
Name:MARTIG, HANNAH ANN (PA)
Entity Type:Individual
Prefix:MRS
First Name:HANNAH
Middle Name:ANN
Last Name:MARTIG
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:ANN
Other - Last Name:KALTENBAUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:305 JAMESON CT
Mailing Address - Street 2:
Mailing Address - City:SEVEN FIELDS
Mailing Address - State:PA
Mailing Address - Zip Code:16046-4353
Mailing Address - Country:US
Mailing Address - Phone:814-528-1945
Mailing Address - Fax:
Practice Address - Street 1:104 TECHNOLOGY DR STE 204
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-1801
Practice Address - Country:US
Practice Address - Phone:833-995-0121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-11
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOA005377363A00000X
PAMA061929363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant