Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife |
NPI | 1033380738 |
---|---|
Provider Name | Mrs. Ruth Ann M Colby Martin |
First Address | Circleville, WV 26804-9703 |
Second Address | Circleville, WV 26804-9703 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2008 |
Last Update Date | 20/03/2008 |