Justin, Ronald M

Justin, Ronald M is an individual health care provider with primary practice located at 1900 Columbus Ave , Bay City MI 48708-6831. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Justin, Ronald M can be contacted via phone (989) 894-3820.

Contact Information

Primary practice address
1900 Columbus Ave Bay City MI 48708-6831
Phone: (989) 894-3820
Fax: (989) 891-0497
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704097573 Michigan

Profile Details

NPI number 1760529440
LBN Legal business name Justin, Ronald M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Jun 3rd, 2010 - about 14 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 1760529440 NPPES
Michigan Other 4308754130 BCBS
Michigan MEDICAID 4851665 BCBS

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