Martin, Ricky Lee
Martin, Ricky Lee is an individual health care provider with primary practice located at 2326 18Th St Ste 210 , Columbus IN 47201-5362. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Martin, Ricky Lee can be contacted via phone (812) 372-8680.Contact Information
Primary practice address
2326 18Th St Ste 210
Columbus IN 47201-5362
Phone: (812) 372-8680
Fax: (812) 373-5497
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 10002016A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10002016A | Indiana |
Profile Details
| NPI number | 1174880447 |
|---|---|
| LBN Legal business name | Martin, Ricky Lee |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2012 |
| Last updated | Dec 22nd, 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.
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