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Contact Information

RONALD BACZURIK
847 W LAKE DR
MOUNT AIRY, NC27030-2157
 Phone: 336-783-6919
 Fax: 336-783-6923
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for RONALD BACZURIK · (Male)

NPI Number 1265468771
Status Active
Credentials
Entity Individual
Enumeration date 06/25/2006
Last updated 07/31/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 1845
  • NC License # 2776
  • NC Medicaid 6104976
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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