Mingle, Ronald Max

Mingle, Ronald Max is an individual health care provider with primary practice located at 1621 E Broomfield St Suite B, Mt Pleasant MI 48858-5427. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mingle, Ronald Max can be contacted via phone (989) 772-1442.

Contact Information

Primary practice address
1621 E Broomfield St Suite B Mt Pleasant MI 48858-5427
Phone: (989) 772-1442
Fax: (989) 772-0735
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601001143 Michigan

Profile Details

NPI number 1881772861
LBN Legal business name Mingle, Ronald Max
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Aug 25th, 2009 - about 17 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 1881772861 NPPES
Michigan Other 0853713260 BCBSM

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