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
Phone: (856) 651-7826
Fax: (856) 229-7142
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710551460 | NPPES |
New Jersey | MEDICAID | 2000872 |
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