Baczurik, Ronald

Baczurik, Ronald is an individual health care provider with primary practice located at 847 W Lake Dr , Mount Airy NC 27030-2157. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Baczurik, Ronald can be contacted via phone (336) 783-6919.

Contact Information

Primary practice address
847 W Lake Dr Mount Airy NC 27030-2157
Phone: (336) 783-6919
Fax: (336) 783-6923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2776 North Carolina
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1845 North Carolina

Profile Details

NPI number 1265468771
LBN Legal business name Baczurik, Ronald
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2006
Last updated Jul 31st, 2013 - about 13 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 1265468771 NPPES
North Carolina MEDICAID 6104976

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