Martin, Richard Wayne
Martin, Richard Wayne is an individual health care provider with primary practice located at 22 North Pelham St. Box 622 , Rhinelander WI 54501-0622. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Martin, Richard Wayne can be contacted via phone (715) 365-6696.Contact Information
Primary practice address
22 North Pelham St. Box 622
Rhinelander WI 54501-0622
Phone: (715) 365-6696
Fax: (715) 365-6768
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 4249-123 | Wisconsin |
Profile Details
| NPI number | 1679519086 |
|---|---|
| LBN Legal business name | Martin, Richard Wayne |
| Credentials | LCSW, LMFT,LPC,CADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1679519086 | NPPES |
| Wisconsin | MEDICAID | 39209400 |
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