Individual
MARTHA C SOULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
263 WATER ST, AUGUSTA, ME 04330-4609
(207) 623-2977
(207) 626-9374
Mailing address
263 WATER ST, AUGUSTA, ME 04330-4609
(207) 623-2977
(207) 626-9374
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA239
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240710099
—
ME
Enumeration date
02/24/2006
Last updated
03/02/2010
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