Quenelle, David J

Quenelle, David J is an individual health care provider with primary practice located at 1701 4Th St Ste 120, Santa Rosa CA 95404-3661. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Quenelle, David J can be contacted via phone (707) 523-7025.

Contact Information

Primary practice address
1701 4Th St Ste 120 Santa Rosa CA 95404-3661
Phone: (707) 523-7025
Fax: (707) 523-3024
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X G13985 California

Profile Details

NPI number 1710909791
LBN Legal business name Quenelle, David J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Feb 7th, 2012 - 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1710909791 NPPES
California Other P00933214 RAILROAD MEDICARE
California MEDICAID 00G139850 RAILROAD MEDICARE

Popular Providers