Knobloch, Ronald P.
Knobloch, Ronald P. is an individual health care provider with primary practice located at 5500 Ellsworth Rd. , Fort Smith AR 72903-3222. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Knobloch, Ronald P. can be contacted via phone (479) 242-2411.Contact Information
Primary practice address
5500 Ellsworth Rd.
Fort Smith AR 72903-3222
Phone: (479) 242-2411
Fax: (479) 242-2412
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Urology | 208800000X | R4235 | Arkansas |
Profile Details
NPI number | 1962454710 |
---|---|
LBN Legal business name | Knobloch, Ronald P. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 17th, 2006 |
Last updated | Mar 22nd, 2013 - about 11 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 | 1962454710 | NPPES |
Arkansas | Other | 54862 | BLUE CROSS |
Arkansas | MEDICAID | 120106001 | BLUE CROSS |
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