Lindquist, Ronald

Lindquist, Ronald is an individual health care provider with primary practice located at 112 Mimosa Dr , Thomasville GA 31792-6605. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Lindquist, Ronald can be contacted via phone (229) 227-0045.

Contact Information

Primary practice address
112 Mimosa Dr Thomasville GA 31792-6605
Phone: (229) 227-0045
Fax: (229) 227-9120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 003926 Georgia

Profile Details

NPI number 1073698031
LBN Legal business name Lindquist, Ronald
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Nov 12th, 2015 - about 9 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 1073698031 NPPES
Georgia Other 11DO266342 CLIA LAB NUMBER
Georgia MEDICAID 100002377B CLIA LAB NUMBER
Georgia Other GRP1474 CLIA LAB NUMBER

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