Durbin, Ronald Reid
Durbin, Ronald Reid is an individual health care provider with primary practice located at 6600 Van Aalst Blvd # 2A-124 , Fort Moore GA 31905-2102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Durbin, Ronald Reid can be contacted via phone (762) 408-3565.Contact Information
Primary practice address
6600 Van Aalst Blvd # 2A-124
Fort Moore GA 31905-2102
Phone: (762) 408-3565
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 045691 | Connecticut |
Profile Details
| NPI number | 1700932308 |
|---|---|
| LBN Legal business name | Durbin, Ronald Reid |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Feb 28th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700932308 | NPPES |
| Connecticut | Other | 2V9940 | HEALTHNET |
| Connecticut | Other | 8221524 | HEALTHNET |
| Connecticut | Other | 045691 | HEALTHNET |
| Connecticut | Other | 010045691CT01 | HEALTHNET |
| Connecticut | MEDICAID | 001456913 | HEALTHNET |
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