Short, Ronald Michael

Short, Ronald Michael is an individual health care provider with primary practice located at 1702 Oak Park Blvd , Lake Charles LA 70601-8912. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Short, Ronald Michael can be contacted via phone (337) 310-1800.

Contact Information

Primary practice address
1702 Oak Park Blvd Lake Charles LA 70601-8912
Phone: (337) 310-1800
Fax: (337) 310-1143
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 2380 Louisiana

Profile Details

NPI number 1023138849
LBN Legal business name Short, Ronald Michael
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jul 9th, 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 1023138849 NPPES
Louisiana MEDICAID 1823805

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