Christian, Ronnie S

Christian, Ronnie S is an individual health care provider with primary practice located at 332 Highway 12 W , Kosciusko MS 39090-3209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Body Imaging, which is considered as his primary health care specialty. Christian, Ronnie S can be contacted via phone (662) 289-1800.

Contact Information

Primary practice address
332 Highway 12 W Kosciusko MS 39090-3209
Fax: (662) 289-2486
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X 06391 Mississippi

Profile Details

NPI number 1760446447
LBN Legal business name Christian, Ronnie S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Aug 17th, 2007 - 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 1760446447 NPPES
Mississippi MEDICAID 00126181

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