Baronofsky, Ian D/
Baronofsky, Ian D/ is an individual health care provider with primary practice located at 12554 Riata Vista Cir , Austin TX 78727-6431. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Baronofsky, Ian D/ can be contacted via phone (512) 795-5100.Contact Information
Primary practice address
12554 Riata Vista Cir
Austin TX 78727-6431
Phone: (512) 795-5100
Fax: (512) 795-5122
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 036-102797 | Illinois |
Profile Details
| NPI number | 1194713388 |
|---|---|
| LBN Legal business name | Baronofsky, Ian D/ |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2005 |
| Last updated | Jan 12th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194713388 | NPPES |
| Illinois | MEDICAID | 036-102797-1 | |
| Illinois | MEDICAID | 316286903 |
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