Earhart, Ronald

Earhart, Ronald is an individual health care provider with primary practice located at 77 W Forest Ave 301, Flagstaff AZ 86001-1479. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is his primary health care specialty. Earhart, Ronald can be contacted via phone (928) 214-2836.

Contact Information

Primary practice address
77 W Forest Ave 301 Flagstaff AZ 86001-1479
Phone: (928) 214-2836
Fax: (928) 214-2837
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5294 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 5294 Arizona

Profile Details

NPI number 1104080118
LBN Legal business name Earhart, Ronald
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2008
Last updated Mar 27th, 2021 - about 4 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 1104080118 NPPES
Arizona MEDICAID 825458

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