Martin, Ricky Anthony

Martin, Ricky Anthony is an individual health care provider with primary practice located at 1281 Fleming Ave , San Jose CA 95127-3610. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Martin, Ricky Anthony can be contacted via phone (408) 259-6565.

Contact Information

Primary practice address
1281 Fleming Ave San Jose CA 95127-3610
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X RW1183 California

Profile Details

NPI number 1124292024
LBN Legal business name Martin, Ricky Anthony
Credentials RRW
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2008
Last updated Apr 22nd, 2008 - about 16 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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