Martin, Richard J
Martin, Richard J is an individual health care provider with primary practice located at 4400 E Flamingo Ste 200, Nampa ID 83687. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Martin, Richard J can be contacted via phone (208) 302-2700.Contact Information
Primary practice address
4400 E Flamingo Ste 200
Nampa ID 83687
Phone: (208) 302-2700
Fax: (208) 302-2725
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | M-7952 | Idaho |
Profile Details
| NPI number | 1285698571 |
|---|---|
| LBN Legal business name | Martin, Richard J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Nov 9th, 2017 - about 9 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 | 1285698571 | NPPES |
| Idaho | MEDICAID | 805719700 |
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