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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235134412 | NPPES |
| Arizona | MEDICAID | 278938 |
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