Delacruz, Renato F
Delacruz, Renato F is an sole proprietor health care provider with primary practice located at 135 E Main St Ste D , Saint Clairsville OH 43950-1583. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Delacruz, Renato F can be contacted via phone (740) 296-5702.Contact Information
Primary practice address
135 E Main St Ste D
Saint Clairsville OH 43950-1583
Phone: (740) 296-5702
Fax: (740) 296-5705
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35060832 | Ohio |
Profile Details
| NPI number | 1174523641 |
|---|---|
| LBN Legal business name | Delacruz, Renato F |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 27th, 2005 |
| Last updated | Apr 26th, 2021 - about 4 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 | 1174523641 | NPPES |
| West Virginia | MEDICAID | 0079563000 | |
| West Virginia | MEDICAID | 0822533 | |
| West Virginia | Other | DG5378 | |
| West Virginia | Other | 110248353 |
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