Vidal, Ronald A.

Vidal, Ronald A. is an individual health care provider with primary practice located at 1107 College Ave , Quincy IL 62301-2664. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Vidal, Ronald A. can be contacted via phone (217) 222-3377.

Contact Information

Primary practice address
1107 College Ave Quincy IL 62301-2664
Fax: (217) 228-2657
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X Illinois

Profile Details

NPI number 1144244377
LBN Legal business name Vidal, Ronald A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Jul 8th, 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 1144244377 NPPES
Illinois Other 109299 HEALTH ALLIANCE

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