Blachly, Ronald J

Blachly, Ronald J is an individual health care provider with primary practice located at 4808 E Johnson Ave , Jonesboro AR 72401-8413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Blachly, Ronald J can be contacted via phone (870) 936-7000.

Contact Information

Primary practice address
4808 E Johnson Ave Jonesboro AR 72401-8413
Phone: (870) 936-7000
Fax: (870) 934-3677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X C-5559 Arkansas

Profile Details

NPI number 1689643751
LBN Legal business name Blachly, Ronald J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jan 22nd, 2014 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689643751 NPPES
Missouri MEDICAID 202589503
Missouri MEDICAID 110171001

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