Degon, Ronald Aurthur

Degon, Ronald Aurthur is an sole proprietor health care provider with primary practice located at 1804 Glenbridge Rd , Bloomington IL 61704-8769. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, which is considered as his primary health care specialty. Degon, Ronald Aurthur can be contacted via phone (309) 831-8326.

Contact Information

Primary practice address
1804 Glenbridge Rd Bloomington IL 61704-8769
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 238.000139 Illinois

Profile Details

NPI number 1891837696
LBN Legal business name Degon, Ronald Aurthur
Credentials RSA, SA-C, CSA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 12th, 2007
Last updated Jun 6th, 2013 - about 11 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 1891837696 NPPES
Illinois Other 238.000139 STATE OF ILLINOIS REGISTRATION NUMBER

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