Strader, Ronald

Strader, Ronald is an individual health care provider with primary practice located at 924 N Broadway St , Pittsburg KS 66762-3910. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Strader, Ronald can be contacted via phone (620) 231-6788.

Contact Information

Primary practice address
924 N Broadway St Pittsburg KS 66762-3910
Phone: (620) 231-6788
Fax: (620) 231-2331
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4621 Kansas

Profile Details

NPI number 1992793020
LBN Legal business name Strader, Ronald
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992793020 NPPES
Kansas MEDICAID 1005020

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