Zack, Ronald Gene

Zack, Ronald Gene is an sole proprietor health care provider with primary practice located at 20276 Middlebelt Rd Suite 2, Livonia MI 48152-2054. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Zack, Ronald Gene can be contacted via phone (248) 476-4900.

Contact Information

Primary practice address
20276 Middlebelt Rd Suite 2 Livonia MI 48152-2054
Phone: (248) 476-4900
Fax: (248) 476-5435
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X RZ033941 Michigan

Profile Details

NPI number 1790729366
LBN Legal business name Zack, Ronald Gene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated Aug 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790729366 NPPES
Michigan MEDICAID 445049710
Michigan MEDICAID 444671610

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