Individual
MR. CONRADO AUGUSTINE MARTIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5900 SHARON WOODS BLVD, COLUMBUS, OH 43229-2600
(614) 227-9420
Mailing address
5900 SHARON WOODS BLVD, COLUMBUS, OH 43229-2600
(614) 227-9420
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
05/26/2021
Last updated
06/20/2022
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