Klizek, Ronald Dale

Klizek, Ronald Dale is an individual health care provider with primary practice located at 15 S Main St Ste 250 , Jamestown NY 14701-6627. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Klizek, Ronald Dale can be contacted via phone (716) 664-9731.

Contact Information

Primary practice address
15 S Main St Ste 250 Jamestown NY 14701-6627
Phone: (716) 664-9731
Fax: (716) 664-9160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 144625 New York

Profile Details

NPI number 1700873668
LBN Legal business name Klizek, Ronald Dale
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2005
Last updated Dec 12th, 2013 - 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 1700873668 NPPES
New York MEDICAID 00706643
New York Other 144625
New York Other 300016615

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