Martin, Ryan
Martin, Ryan is an individual health care provider with primary practice located at 14 Pacella Park Dr , Randolph MA 02368-1756. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Martin, Ryan can be contacted via phone (781) 440-0400.Contact Information
Primary practice address
14 Pacella Park Dr
Randolph MA 02368-1756
Phone: (781) 440-0400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1457727372 |
|---|---|
| LBN Legal business name | Martin, Ryan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2015 |
| Last updated | Aug 14th, 2015 - about 11 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 | 1457727372 | NPPES |
| Massachusetts | MEDICAID | 110026265E |
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