Vandernoord, Ronald

Vandernoord, Ronald is an individual health care provider with primary practice located at 710 Park Center Dr Ste 300 , Matthews NC 28105-5082. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Vandernoord, Ronald can be contacted via phone (704) 323-2000.

Contact Information

Primary practice address
710 Park Center Dr Ste 300 Matthews NC 28105-5082
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 2001-00620 North Carolina

Profile Details

NPI number 1083696892
LBN Legal business name Vandernoord, Ronald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2005
Last updated Mar 20th, 2018 - about 8 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 1083696892 NPPES
North Carolina MEDICAID 89129TN
North Carolina MEDICAID N00620

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