Pudlo, Ronald

Pudlo, Ronald is an individual health care provider with primary practice located at 510 N Elam Ave Ste 202, Greensboro NC 27403-1142. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Pudlo, Ronald can be contacted via phone (336) 299-3183.

Contact Information

Primary practice address
510 N Elam Ave Ste 202 Greensboro NC 27403-1142
Fax: (336) 299-6352
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 27282 North Carolina

Profile Details

NPI number 1699737171
LBN Legal business name Pudlo, Ronald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Mar 7th, 2023 - about last year

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 1699737171 NPPES
North Carolina MEDICAID 790287W

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