Provider Demographics
NPI:1326681305
Name:MARTHA & COMPANY, LLC
Entity type:Organization
Organization Name:MARTHA & COMPANY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED MASTECTOMY FITTER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:A
Authorized Official - Last Name:OJAKAAR
Authorized Official - Suffix:
Authorized Official - Credentials:CMF
Authorized Official - Phone:207-847-0675
Mailing Address - Street 1:121 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04096-6745
Mailing Address - Country:US
Mailing Address - Phone:207-847-0675
Mailing Address - Fax:207-847-0687
Practice Address - Street 1:121 MAIN STREET
Practice Address - Street 2:
Practice Address - City:YARMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04096-6745
Practice Address - Country:US
Practice Address - Phone:207-847-0675
Practice Address - Fax:207-847-0687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-23
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMastectomy FitterGroup - Single Specialty