Supena, Ronaldo B
Supena, Ronaldo B is an sole proprietor health care provider with primary practice located at 611 Martin Luther King Jr Blvd , Detroit MI 48201-2273. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Supena, Ronaldo B can be contacted via phone (313) 832-6300.Contact Information
Primary practice address
611 Martin Luther King Jr Blvd
Detroit MI 48201-2273
Phone: (313) 832-6300
Fax: (313) 832-2075
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 4301032101 | Michigan |
Profile Details
| NPI number | 1275576886 |
|---|---|
| LBN Legal business name | Supena, Ronaldo B |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Nov 1st, 2022 - about 2 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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