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:
Health care specialties
Specialty | Code | License # | 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 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013228394 | NPPES |
Nevada | MEDICAID | 1013228394 | |
Nevada | MEDICAID | 1366544124 |
Popular Providers
-
Hudak, Regina Marie
2418 E York St , Philadelphia PA 19125-3006 -
Knowles, Carol Donahue
3200 Northline Ave Ste 200, Greensboro NC 27408-7616 -
Paton, Kenneth Mac
3650 S Pointe Cir Ste 112 , Laughlin NV 89029-0422 -
Bast, Stephen D
3676 Parker Blvd , Pueblo CO 81008-2212 -
Thayer, Michael A
5501 N Portland Ave , Oklahoma City OK 73112-2074 -
Hellwege, Roger D
3300 Nw Expressway Fl 2 , Oklahoma City OK 73112-4418 -
King, Stanley Thomas
205 Hospital Dr Ste A, Mc Kenzie TN 38201-1649 -
Jackson, Mark E
800 Fleming St , Hendersonville NC 28791-3528