Shistick, Ronald

Shistick, Ronald is an individual health care provider with primary practice located at 7847 Valley Flores Dr , West Hills CA 91304-6105. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Shistick, Ronald can be contacted via phone (818) 992-1502.

Contact Information

Primary practice address
7847 Valley Flores Dr West Hills CA 91304-6105
Phone: (818) 992-1502
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 19641 California

Profile Details

NPI number 1790094928
LBN Legal business name Shistick, Ronald
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2010
Last updated May 31st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790094928 NPPES
California MEDICAID 4444167333

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