Black, Ronald A

Black, Ronald A is an individual health care provider with primary practice located at 449 Kapahulu Ave Ste 104 , Honolulu HI 96815-3850. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Black, Ronald A can be contacted via phone (808) 735-0007.

Contact Information

Primary practice address
449 Kapahulu Ave Ste 104 Honolulu HI 96815-3850
Phone: (808) 735-0007
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20695 Montana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD22584 Hawaii

Profile Details

NPI number 1912903311
LBN Legal business name Black, Ronald A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2005
Last updated May 31st, 2023 - about 2 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 1912903311 NPPES
Hawaii MEDICAID 001361
Hawaii MEDICAID 00185745

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