Short, Ronald Michael
Short, Ronald Michael is an individual health care provider with primary practice located at 1702 Oak Park Blvd , Lake Charles LA 70601-8912. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Short, Ronald Michael can be contacted via phone (337) 310-1800.Contact Information
Primary practice address
1702 Oak Park Blvd
Lake Charles LA 70601-8912
Phone: (337) 310-1800
Fax: (337) 310-1143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 2380 | Louisiana |
Profile Details
| NPI number | 1023138849 |
|---|---|
| LBN Legal business name | Short, Ronald Michael |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1023138849 | NPPES |
| Louisiana | MEDICAID | 1823805 |
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