Herrington, Ronald Glenn

Herrington, Ronald Glenn is an individual health care provider with primary practice located at 1190 N State St Ste 403, Jackson MS 39202-2413. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Herrington, Ronald Glenn can be contacted via phone (601) 353-2020.

Contact Information

Primary practice address
1190 N State St Ste 403 Jackson MS 39202-2413
Fax: (601) 714-5110
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 11733 Mississippi

Profile Details

NPI number 1831194679
LBN Legal business name Herrington, Ronald Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2005
Last updated Mar 18th, 2019 - about 5 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 1831194679 NPPES
Louisiana MEDICAID 1944551
Louisiana MEDICAID 00110680
Louisiana MEDICAID 009976295

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