Individual ProviderConnor R MartinStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address53 Richland Ave, Athens, OH 45701-2745(419) 307-3181PECOS EnrollmentBased on the most recent information from CMS, provider Connor R Martin does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 33 days ago.Profile DetailsProvider ID1841702867Provider TypeIndividualFull NameMartin, Connor RGenderMaleSole ProprietorNoEnumeration Date10/31/2017Last Updated10/31/2017Contact InformationPractice LocationPractice Address53 Richland Ave, Athens, OH 45701-2745Phone(419) 307-3181FaxUnlisted FaxMailing LocationMailing Address838 Fennimore St, Fremont, OH 43420-3121Phone(419) 307-3181FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerCode2255A2300XDescriptionSpecialist/TechnologistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer