Aderholt, Ronald Lynn
Aderholt, Ronald Lynn is an sole proprietor health care provider with primary practice located at 333 E Choccolocco St , Oxford AL 36203-1225. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Aderholt, Ronald Lynn can be contacted via phone (256) 831-2040.Contact Information
Primary practice address
333 E Choccolocco St
Oxford AL 36203-1225
Phone: (256) 831-2040
Fax: (256) 831-2716
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | S-540-TA-102 | Alabama |
Profile Details
| NPI number | 1568560233 |
|---|---|
| LBN Legal business name | Aderholt, Ronald Lynn |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Apr 16th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568560233 | NPPES |
| Alabama | MEDICAID | 000058323 |
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