Brimberry, Ronald K

Brimberry, Ronald K is an individual health care provider with primary practice located at 601 W Maple Ave Suite 102, Springdale AR 72764-5379. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Brimberry, Ronald K can be contacted via phone (479) 750-6585.

Contact Information

Primary practice address
601 W Maple Ave Suite 102 Springdale AR 72764-5379
Phone: (479) 750-6585
Fax: (479) 750-6594
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C-6028 Arkansas

Profile Details

NPI number 1336129758
LBN Legal business name Brimberry, Ronald K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Oct 26th, 2011 - about 14 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 1336129758 NPPES
Arkansas MEDICAID 105374001
Arkansas Other 390702
Arkansas Other 971868
Arkansas Other 080153473
Arkansas Other 1353054
Arkansas Other 11671000000
Arkansas Other 50638
Arkansas Other 5498573

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