Martin, Richard W

Martin, Richard W is an individual health care provider with primary practice located at 1155 E Paris Ave Se Ste 100, Grand Rapids MI 49546-8368. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Martin, Richard W can be contacted via phone (616) 459-8088.

Contact Information

Primary practice address
1155 E Paris Ave Se Ste 100 Grand Rapids MI 49546-8368
Phone: (616) 459-8088
Fax: (616) 459-8312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 4301407582 Michigan

Profile Details

NPI number 1215924642
LBN Legal business name Martin, Richard W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Jun 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215924642 NPPES
Michigan MEDICAID 4372336

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