Debelen-Gonzales, Renellie
Debelen-Gonzales, Renellie is an individual health care provider with primary practice located at 2851 S Ave B Ste 32 , Yuma AZ 85364-7726. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Debelen-Gonzales, Renellie can be contacted via phone (928) 783-5828.Contact Information
Primary practice address
2851 S Ave B Ste 32
Yuma AZ 85364-7726
Phone: (928) 783-5828
Fax: (928) 373-9699
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 27259 | Arizona |
Profile Details
| NPI number | 1194780627 |
|---|---|
| LBN Legal business name | Debelen-Gonzales, Renellie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2006 |
| Last updated | Jul 29th, 2011 - about 13 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 | 1194780627 | NPPES |
| Arizona | MEDICAID | 459158 |
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