Disimone, Ronald Enrico

Disimone, Ronald Enrico is an individual health care provider with primary practice located at 1705 Warren Ave Suite 101-103, Williamsport PA 17701-2647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Disimone, Ronald Enrico can be contacted via phone (570) 321-2020.

Contact Information

Primary practice address
1705 Warren Ave Suite 101-103 Williamsport PA 17701-2647
Phone: (570) 321-2020
Fax: (570) 320-7576
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD029691-E Pennsylvania

Profile Details

NPI number 1063405264
LBN Legal business name Disimone, Ronald Enrico
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Aug 18th, 2016 - about 8 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 1063405264 NPPES
Pennsylvania MEDICAID 0010866270001
Pennsylvania Other 489816

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