Boris, Ronald

Boris, Ronald is an individual health care provider with primary practice located at 11725 N Illinois St Suite 558, Carmel IN 46032-3008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Boris, Ronald can be contacted via phone (317) 688-5500.

Contact Information

Primary practice address
11725 N Illinois St Suite 558 Carmel IN 46032-3008
Phone: (317) 688-5500
Fax: (317) 688-5511
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 430108005 Michigan
Allopathic & Osteopathic Physicians / Urology 208800000X 01068316A Indiana

Profile Details

NPI number 1427254945
LBN Legal business name Boris, Ronald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2007
Last updated Jan 24th, 2014 - about 10 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 1427254945 NPPES
Indiana MEDICAID 200990140
Indiana Other 000000673864

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