Shore, Ronald
Shore, Ronald is an individual health care provider with primary practice located at 4701 Randolph Rd Suite 201, Rockville MD 20852-2257. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Shore, Ronald can be contacted via phone (410) 872-9188.Contact Information
Primary practice address
4701 Randolph Rd Suite 201
Rockville MD 20852-2257
Phone: (410) 872-9188
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | D20596 | Maryland |
Profile Details
| NPI number | 1144258757 |
|---|---|
| LBN Legal business name | Shore, Ronald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2006 |
| Last updated | Oct 19th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144258757 | NPPES |
| District of Columbia | Other | 6792001 | CAREFIRST BCBSDC |
| District of Columbia | Other | 52494004 | CAREFIRST BCBSDC |
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