Iverson, Ronald Edward

Iverson, Ronald Edward is an individual health care provider with primary practice located at 1387 Santa Rita Rd , Pleasanton CA 94566-5643. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Iverson, Ronald Edward can be contacted via phone (925) 462-3700.

Contact Information

Primary practice address
1387 Santa Rita Rd Pleasanton CA 94566-5643
Fax: (925) 462-4681
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 0G147380 California

Profile Details

NPI number 1316992373
LBN Legal business name Iverson, Ronald Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Jul 8th, 2007 - about 18 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 1316992373 NPPES
California Other 05-1102 BLUE CROSS

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