Proctor, Ronald Lewis

Proctor, Ronald Lewis is an individual health care provider with primary practice located at 3740 N Josey Ln Ste 121, Carrollton TX 75007-2471. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Proctor, Ronald Lewis can be contacted via phone (972) 492-2866.

Contact Information

Primary practice address
3740 N Josey Ln Ste 121 Carrollton TX 75007-2471
Fax: (972) 394-0583
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 10344 Texas

Profile Details

NPI number 1881691459
LBN Legal business name Proctor, Ronald Lewis
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated Jul 8th, 2007 - 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 1881691459 NPPES
Texas Other CM76 BCBS
Texas Other 742084 BCBS

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