Martin, Richard Leroy
Martin, Richard Leroy is an sole proprietor health care provider with primary practice located at 3800 W Ray Rd Ste 5 , Chandler AZ 85226-5940. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Martin, Richard Leroy can be contacted via phone (480) 718-5400.Contact Information
Primary practice address
3800 W Ray Rd Ste 5
Chandler AZ 85226-5940
Phone: (480) 718-5400
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | POD-000813 | Arizona |
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 36003308M | Ohio |
Profile Details
NPI number | 1851475610 |
---|---|
LBN Legal business name | Martin, Richard Leroy |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 25th, 2006 |
Last updated | Aug 10th, 2022 - about 2 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 | 1851475610 | NPPES |
Ohio | MEDICAID | 2338992 |
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