Pancner, Ronald J
Pancner, Ronald J is an individual health care provider with primary practice located at 2805 Fairfield Ave , Fort Wayne IN 46807-1218. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Pancner, Ronald J can be contacted via phone (260) 456-4880.Contact Information
Primary practice address
2805 Fairfield Ave
Fort Wayne IN 46807-1218
Phone: (260) 456-4880
Fax: (260) 456-3559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 01019854 | Indiana |
Profile Details
| NPI number | 1316980576 |
|---|---|
| LBN Legal business name | Pancner, Ronald J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Oct 20th, 2022 - about 3 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 | 1316980576 | NPPES |
| Indiana | MEDICAID | 100463070 |
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