Fejeran, Ronald Jc

Fejeran, Ronald Jc is an sole proprietor health care provider with primary practice located at 1442 N Broad St Suite 7, Tazewell TN 37879-4361. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Fejeran, Ronald Jc can be contacted via phone (423) 626-1931.

Contact Information

Primary practice address
1442 N Broad St Suite 7 Tazewell TN 37879-4361
Phone: (423) 626-1931
Fax: (423) 626-1948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 999 Tennessee
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X D0999 Tennessee

Profile Details

NPI number 1073518288
LBN Legal business name Fejeran, Ronald Jc
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2005
Last updated Jan 7th, 2020 - about 6 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 1073518288 NPPES
Tennessee MEDICAID 3303563
Tennessee MEDICAID 1506800

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