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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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 1518947811 NPPES
New York MEDICAID 00930314

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