Pearson, Ronald Bradburn Vincent

Pearson, Ronald Bradburn Vincent is an individual health care provider with primary practice located at 100 Hoylman Dr , Gassaway WV 26624-9321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Pearson, Ronald Bradburn Vincent can be contacted via phone (304) 364-1153.

Contact Information

Primary practice address
100 Hoylman Dr Gassaway WV 26624-9321
Phone: (304) 364-1153
Fax: (304) 364-1154
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 20152 West Virginia

Profile Details

NPI number 1063466803
LBN Legal business name Pearson, Ronald Bradburn Vincent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jul 25th, 2008 - about 17 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 1063466803 NPPES
West Virginia Other BR5113081 MEDICARE PART B GROUP
West Virginia Other 0001417002 MEDICARE PART B GROUP
West Virginia Other 5T5100381 MEDICARE PART B GROUP
West Virginia MEDICAID 7300262000 MEDICARE PART B GROUP

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