Spain, Ronald David
Spain, Ronald David is an sole proprietor health care provider with primary practice located at 2206 Page Rd Ste 103, Durham NC 27703-7710. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Spain, Ronald David can be contacted via phone (919) 596-1219.Contact Information
Primary practice address
2206 Page Rd Ste 103
Durham NC 27703-7710
Phone: (919) 596-1219
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 4688 | North Carolina |
Profile Details
| NPI number | 1558331579 |
|---|---|
| LBN Legal business name | Spain, Ronald David |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Apr 24th, 2012 - about 12 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 | 1558331579 | NPPES |
| North Carolina | MEDICAID | 8998012 |
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