Cloninger, Paul Norman

Cloninger, Paul Norman is an individual health care provider with primary practice located at 4801 J St Suite B, Sacramento CA 95819-3746. She recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology, which is considered as her primary health care specialty. Cloninger, Paul Norman can be contacted via phone (916) 452-6222.

Contact Information

Primary practice address
4801 J St Suite B Sacramento CA 95819-3746
Phone: (916) 452-6222
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology 207KI0005X A23119 California

Profile Details

NPI number 1114903457
LBN Legal business name Cloninger, Paul Norman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Oct 18th, 2011 - about 14 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 1114903457 NPPES
California MEDICAID 00A231190

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