Mudry, Ronald Alan
Mudry, Ronald Alan is an individual health care provider with primary practice located at 911 Gorman Ave Suite 201, Elkins WV 26241-3082. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Mudry, Ronald Alan can be contacted via phone (304) 637-6302.Contact Information
Primary practice address
911 Gorman Ave Suite 201
Elkins WV 26241-3082
Phone: (304) 637-6302
Fax: (304) 637-6307
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 21547 | West Virginia |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 21547 | West Virginia |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 21547 | West Virginia |
Profile Details
| NPI number | 1710081864 |
|---|---|
| LBN Legal business name | Mudry, Ronald Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2006 |
| Last updated | Oct 27th, 2014 - 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 | 1710081864 | NPPES |
| Other | 1710081864 | MOUNTAIN STATE BCBS | |
| MEDICAID | 3810008329 | MOUNTAIN STATE BCBS | |
| Other | WV21547A | MOUNTAIN STATE BCBS |
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