Van Tuyl, Ronald A

Van Tuyl, Ronald A is an sole proprietor health care provider with primary practice located at 215 Riverstone Dr , Canton GA 30114. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Allergy. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Van Tuyl, Ronald A can be contacted via phone (770) 345-6600.

Contact Information

Primary practice address
215 Riverstone Dr Canton GA 30114
Phone: (770) 345-6600
Fax: (770) 345-6611
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 030684 Georgia
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 030684 Georgia
Allopathic & Osteopathic Physicians / Allergy 207KA0200X 030684 Georgia

Profile Details

NPI number 1447260633
LBN Legal business name Van Tuyl, Ronald A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2006
Last updated Dec 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447260633 NPPES
Georgia MEDICAID 00509187D

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