Martin, Rick

Martin, Rick is an individual health care provider with primary practice located at 2500 N State St , Jackson MS 39216-4500. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Martin, Rick can be contacted via phone (601) 984-5373.

Contact Information

Primary practice address
2500 N State St Jackson MS 39216-4500
Phone: (601) 984-5373
Fax: (601) 984-5476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 10629 Mississippi

Profile Details

NPI number 1326073404
LBN Legal business name Martin, Rick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Nov 14th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326073404 NPPES
Mississippi Other 512I160012 MEDICARE PTAN
Mississippi Other 08103071 MEDICARE PTAN
Mississippi Other 512G700003 MEDICARE PTAN
Mississippi Other 160039616 MEDICARE PTAN
Mississippi MEDICAID 00015809 MEDICARE PTAN
Mississippi MEDICAID 09014712 MEDICARE PTAN

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