South, Ronald E
South, Ronald E is an individual health care provider with primary practice located at 1107 E Matthews Ave Suite 200, Jonesboro AR 72401-4315. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. South, Ronald E can be contacted via phone (870) 931-4442.Contact Information
Primary practice address
1107 E Matthews Ave Suite 200
Jonesboro AR 72401-4315
Phone: (870) 931-4442
Fax: (870) 931-4707
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | E0706 | Arkansas |
Profile Details
NPI number | 1457314577 |
---|---|
LBN Legal business name | South, Ronald E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 10th, 2006 |
Last updated | Jun 30th, 2010 - about 14 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 | 1457314577 | NPPES |
Arkansas | MEDICAID | 143512002 | |
Arkansas | MEDICAID | 134615001 |
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