Kluchin, Ronald John

Kluchin, Ronald John is an sole proprietor health care provider with primary practice located at 784 Asbury Dr , Mandeville LA 70471-1844. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kluchin, Ronald John can be contacted via phone (985) 626-8110.

Contact Information

Primary practice address
784 Asbury Dr Mandeville LA 70471-1844
Fax: (985) 626-8423
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 017699 Louisiana

Profile Details

NPI number 1679565899
LBN Legal business name Kluchin, Ronald John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 16th, 2005
Last updated Mar 24th, 2014 - about 10 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 1679565899 NPPES
Louisiana MEDICAID 1386057

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