Martino, Ronald A

Martino, Ronald A is an individual health care provider with primary practice located at 1919 Lathrop St Ste 220, Fairbanks AK 99701-5942. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Martino, Ronald A can be contacted via phone (907) 452-1739.

Contact Information

Primary practice address
1919 Lathrop St Ste 220 Fairbanks AK 99701-5942
Fax: (907) 452-2384
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 1695 Alaska

Profile Details

NPI number 1194793414
LBN Legal business name Martino, Ronald A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2006
Last updated Aug 30th, 2010 - about 15 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 1194793414 NPPES
Alaska MEDICAID MD1695

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