Provider Demographics
NPI:1033380738
Name:COLBY MARTIN, RUTH ANN M (CPM, EMT)
Entity Type:Individual
Prefix:MRS
First Name:RUTH ANN
Middle Name:M
Last Name:COLBY MARTIN
Suffix:
Gender:F
Credentials:CPM, EMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 75 BOX 20
Mailing Address - Street 2:
Mailing Address - City:CIRCLEVILLE
Mailing Address - State:WV
Mailing Address - Zip Code:26804-9703
Mailing Address - Country:US
Mailing Address - Phone:304-567-3149
Mailing Address - Fax:
Practice Address - Street 1:HC 75 BOX 20
Practice Address - Street 2:
Practice Address - City:CIRCLEVILLE
Practice Address - State:WV
Practice Address - Zip Code:26804-9703
Practice Address - Country:US
Practice Address - Phone:304-567-3149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-20
Last Update Date:2008-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife