Martin, Ronald Alan

Martin, Ronald Alan is an sole proprietor health care provider with primary practice located at 1305 Kings Hwy N , Cherry Hill NJ 08034-1919. He recently has only one registered license in Ambulatory Health Care Facilities / Methadone, which is considered as his primary health care specialty. Martin, Ronald Alan can be contacted via phone (856) 651-7826.

Contact Information

Primary practice address
1305 Kings Hwy N Cherry Hill NJ 08034-1919
Fax: (856) 229-7142
Website:

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Methadone 261QM2800X 2000872 New Jersey

Profile Details

NPI number 1710551460
LBN Legal business name Martin, Ronald Alan
Credentials PROGRAM SPONSOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 18th, 2021
Last updated May 18th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1710551460 NPPES
New Jersey MEDICAID 2000872

Popular Providers