Childerston, Ronald R.

Childerston, Ronald R. is an individual health care provider with primary practice located at 405 Monroe St , Pella IA 50219-1189. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Childerston, Ronald R. can be contacted via phone (641) 628-3832.

Contact Information

Primary practice address
405 Monroe St Pella IA 50219-1189
Fax: (641) 628-8894
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 3599 Iowa

Profile Details

NPI number 1518947985
LBN Legal business name Childerston, Ronald R.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Oct 15th, 2007 - about 14 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 1518947985 NPPES
Iowa MEDICAID 1561530
Iowa Other P00310643
Iowa MEDICAID 2561530

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