Bliss, Ronald

Bliss, Ronald is an individual health care provider with primary practice located at 2300 E 30Th St Bldg B, Ste 102, Farmington NM 87401-8990. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bliss, Ronald can be contacted via phone (505) 324-1000.

Contact Information

Primary practice address
2300 E 30Th St Bldg B, Ste 102 Farmington NM 87401-8990
Phone: (505) 324-1000
Fax: (505) 324-1199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2000-145 New Mexico

Profile Details

NPI number 1912985946
LBN Legal business name Bliss, Ronald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2006
Last updated Jan 22nd, 2008 - about 17 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 1912985946 NPPES
New Mexico MEDICAID 62965
New Mexico Other NM004266
New Mexico Other 80156045
New Mexico Other 20592
New Mexico Other 57647

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