Ikeda, Martin
Ikeda, Martin is an sole proprietor health care provider with primary practice located at 1860 Nw 118Th St Suite 100, Clive IA 50325-8278. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Behavioral Analyst. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Ikeda, Martin can be contacted via phone (515) 778-4378.Contact Information
Primary practice address
1860 Nw 118Th St Suite 100
Clive IA 50325-8278
Phone: (515) 778-4378
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 00808 | Iowa |
| Behavioral Health & Social Service Providers / Behavioral Analyst | 103K00000X | 1-13-13506 |
Profile Details
| NPI number | 1386982254 |
|---|---|
| LBN Legal business name | Ikeda, Martin |
| Credentials | PH. D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 28th, 2013 |
| Last updated | Jul 25th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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