Blevins, Ronald J
Blevins, Ronald J is an individual health care provider with primary practice located at 2101 Jackson St Ste 115 , Anderson IN 46016-4386. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Blevins, Ronald J can be contacted via phone (765) 643-6961.Contact Information
Primary practice address
2101 Jackson St Ste 115
Anderson IN 46016-4386
Phone: (765) 643-6961
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | 01032755 | Indiana |
Profile Details
| NPI number | 1699880773 |
|---|---|
| LBN Legal business name | Blevins, Ronald J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | May 25th, 2022 - about 3 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 | 1699880773 | NPPES |
| Indiana | MEDICAID | 100345510B |
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