Glick, Ronald M

Glick, Ronald M is an sole proprietor health care provider with primary practice located at 3940 E University Dr , Mesa AZ 85205-6945. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Pediatric Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Glick, Ronald M can be contacted via phone (480) 924-9235.

Contact Information

Primary practice address
3940 E University Dr Mesa AZ 85205-6945
Phone: (480) 924-9235
Fax: (480) 832-5501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X 2012 Arizona
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2012 Arizona
Allopathic & Osteopathic Physicians / Pediatric Dermatology 207NP0225X 2012 Arizona

Profile Details

NPI number 1235134412
LBN Legal business name Glick, Ronald M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2005
Last updated Feb 9th, 2022 - about 2 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 1235134412 NPPES
Arizona MEDICAID 278938

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