Martin, Richard C.
Martin, Richard C. is an individual health care provider with primary practice located at 5355 E High St Unit 113 , Phoenix AZ 85054-5481. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Martin, Richard C. can be contacted via phone (602) 648-5444.Contact Information
Primary practice address
5355 E High St Unit 113
Phoenix AZ 85054-5481
Phone: (602) 648-5444
Fax: (602) 772-3801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 18550 | Arizona |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 18550 | Arizona |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207XX0005X | 18550 | Arizona |
Profile Details
| NPI number | 1487602314 |
|---|---|
| LBN Legal business name | Martin, Richard C. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Oct 12th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487602314 | NPPES |
| Other | 3Z3915 | HEALTNET ID | |
| MEDICAID | 290172 | HEALTNET ID |
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