Botelho, Ronald J
Botelho, Ronald J is an individual health care provider with primary practice located at 1221 Farmers Ln Suite 500, Santa Rosa CA 95405-6712. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Botelho, Ronald J can be contacted via phone (707) 569-3230.Contact Information
Primary practice address
1221 Farmers Ln Suite 500
Santa Rosa CA 95405-6712
Phone: (707) 569-3230
Fax: (707) 523-0119
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 10484 | Nevada |
Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | G53308 | California |
Profile Details
NPI number | 1235199373 |
---|---|
LBN Legal business name | Botelho, Ronald J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 24th, 2006 |
Last updated | Jul 15th, 2015 - about 9 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 | 1235199373 | NPPES |
Nevada | MEDICAID | 100501809 |
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