Jacques, Ronald
Jacques, Ronald is an sole proprietor health care provider with primary practice located at 3009 Glenwood Rd , Brooklyn NY 11210-2641. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Jacques, Ronald can be contacted via phone (718) 421-1003.Contact Information
Primary practice address
3009 Glenwood Rd
Brooklyn NY 11210-2641
Phone: (718) 421-1003
Fax: (718) 434-0445
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 155412 | New York |
Profile Details
| NPI number | 1518947811 |
|---|---|
| LBN Legal business name | Jacques, Ronald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 20th, 2006 |
| Last updated | Feb 14th, 2012 - about 13 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 | 1518947811 | NPPES |
| New York | MEDICAID | 00930314 |
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