Ronk, Richard James
Ronk, Richard James is an sole proprietor health care provider with primary practice located at 200 S 29Th St , Council Bluffs IA 51501-3449. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Ronk, Richard James can be contacted via phone (712) 322-7912.Contact Information
Primary practice address
200 S 29Th St
Council Bluffs IA 51501-3449
Phone: (712) 322-7912
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 06357 | Iowa |
Dental Providers / General Practice | 1223G0001X | 5546 | Nebraska |
Profile Details
NPI number | 1518040930 |
---|---|
LBN Legal business name | Ronk, Richard James |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 21st, 2006 |
Last updated | Jul 9th, 2007 - about 18 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 | 1518040930 | NPPES |
Iowa | MEDICAID | 0150995 | |
Iowa | Other | 25215 |
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