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
Phone: (704) 323-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083696892 | NPPES |
| North Carolina | MEDICAID | 89129TN | |
| North Carolina | MEDICAID | N00620 |
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