Martinez, Fidel Ricardo

Martinez, Fidel Ricardo is an individual health care provider with primary practice located at 720 45Th St , Munster IN 46321-2818. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Martinez, Fidel Ricardo can be contacted via phone (219) 852-2513.

Contact Information

Primary practice address
720 45Th St Munster IN 46321-2818
Phone: (219) 852-2513
Fax: (219) 852-2443
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149001127 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X 87000616A Indiana
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34004064A Indiana

Profile Details

NPI number 1629085857
LBN Legal business name Martinez, Fidel Ricardo
Credentials LCSW, CEAP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Oct 11th, 2023 - about last year

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 1629085857 NPPES
Illinois Other 90000854 BCBSIL

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