Martin, Clinton Richard

Martin, Clinton Richard is an individual health care provider with primary practice located at 3650 S Pointe Cir Ste 106 , Laughlin NV 89029-0422. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Martin, Clinton Richard can be contacted via phone (702) 254-1425.

Contact Information

Primary practice address
3650 S Pointe Cir Ste 106 Laughlin NV 89029-0422
Phone: (702) 254-1425
Fax: (702) 243-5012
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5486 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1351 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA0270 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA12064 Texas

Profile Details

NPI number 1013228394
LBN Legal business name Martin, Clinton Richard
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2010
Last updated Aug 12th, 2021 - about 3 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 1013228394 NPPES
Nevada MEDICAID 1013228394
Nevada MEDICAID 1366544124

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