Durbin, Ronald Reid

Durbin, Ronald Reid is an individual health care provider with primary practice located at 6600 Van Aalst Blvd # 2A-124 , Fort Moore GA 31905-2102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Durbin, Ronald Reid can be contacted via phone (762) 408-3565.

Contact Information

Primary practice address
6600 Van Aalst Blvd # 2A-124 Fort Moore GA 31905-2102
Phone: (762) 408-3565
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 045691 Connecticut

Profile Details

NPI number 1700932308
LBN Legal business name Durbin, Ronald Reid
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2007
Last updated Feb 28th, 2024 - about 2 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 1700932308 NPPES
Connecticut Other 2V9940 HEALTHNET
Connecticut Other 8221524 HEALTHNET
Connecticut Other 045691 HEALTHNET
Connecticut Other 010045691CT01 HEALTHNET
Connecticut MEDICAID 001456913 HEALTHNET

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