Fillmore, Ronald D

Fillmore, Ronald D is an sole proprietor health care provider with primary practice located at 2776 Pacific Ave Pacific Hospital Of Long Beach, Long Beach CA 90806-2613. He recently has only one registered license in Nursing Service Providers / Registered Nurse First Assistant, which is considered as his primary health care specialty. Fillmore, Ronald D can be contacted via phone (760) 534-9550.

Contact Information

Primary practice address
2776 Pacific Ave Pacific Hospital Of Long Beach Long Beach CA 90806-2613
Fax: (951) 808-9700
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse First Assistant 163WR0006X 305990 California

Profile Details

NPI number 1003019282
LBN Legal business name Fillmore, Ronald D
Credentials Certified Registered Nurse, First Assistant (CRNFA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 6th, 2007
Last updated Jul 8th, 2007 - about 19 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 1003019282 NPPES
California Other 305990 CRNFA LIC NUMBER

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