Self, Ronnie
Self, Ronnie is an individual health care provider with primary practice located at 1990 Industrial Blvd , Houma LA 70363-7055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as his primary health care specialty. Self, Ronnie can be contacted via phone (985) 868-9300.Contact Information
Primary practice address
1990 Industrial Blvd
Houma LA 70363-7055
Phone: (985) 868-9300
Fax: (985) 851-0053
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | MD.205335 | Louisiana |
Profile Details
| NPI number | 1659695674 |
|---|---|
| LBN Legal business name | Self, Ronnie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2010 |
| Last updated | Feb 16th, 2016 - about 9 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 | 1659695674 | NPPES |
| Louisiana | MEDICAID | 2109022 |
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