Roan, Ronald M
Roan, Ronald M is an sole proprietor health care provider with primary practice located at 608 Stone Avenue , Talladega AL 35610-2217. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services, Allopathic & Osteopathic Physicians / Aerospace Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Roan, Ronald M can be contacted via phone (205) 979-5882.Contact Information
Primary practice address
608 Stone Avenue
Talladega AL 35610-2217
Phone: (205) 979-5882
Fax: (205) 979-1248
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 24176 | Alabama |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | 24176 | Alabama |
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 24176 | Alabama |
| Allopathic & Osteopathic Physicians / Aerospace Medicine | 2083A0100X | 24176 | Alabama |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 24176 | Alabama |
Profile Details
| NPI number | 1447221817 |
|---|---|
| LBN Legal business name | Roan, Ronald M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Jun 24th, 2011 - about 13 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 | 1447221817 | NPPES |
| Alabama | MEDICAID | 009910247 | |
| Alabama | MEDICAID | 128722 | |
| Alabama | MEDICAID | 009910246 | |
| Alabama | MEDICAID | 009910243 | |
| Alabama | Other | 511-15720 | |
| Alabama | MEDICAID | 009910248 |
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