White, Ronald Lynn

White, Ronald Lynn is an individual health care provider with primary practice located at 1611 W Main St , Russellville AR 72801-2719. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. White, Ronald Lynn can be contacted via phone (479) 890-5881.

Contact Information

Primary practice address
1611 W Main St Russellville AR 72801-2719
Phone: (479) 890-5881
Fax: (479) 890-5092
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X C6004 Arkansas

Profile Details

NPI number 1245345057
LBN Legal business name White, Ronald Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Jan 22nd, 2015 - about 11 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 1245345057 NPPES
Arkansas Other 5F920 PTAN
Arkansas MEDICAID 112265001 PTAN

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