Small, Ronald J
Small, Ronald J is an sole proprietor health care provider with primary practice located at 104 W Cheltenham Ave , Philadelphia PA 19120-1027. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Small, Ronald J can be contacted via phone (215) 924-2521.Contact Information
Primary practice address
104 W Cheltenham Ave
Philadelphia PA 19120-1027
Phone: (215) 924-2521
Fax: (215) 924-2367
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | SC003322L | Pennsylvania |
Profile Details
| NPI number | 1174500722 |
|---|---|
| LBN Legal business name | Small, Ronald J |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 26th, 2005 |
| Last updated | Oct 14th, 2013 - about 11 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 | 1174500722 | NPPES |
| Pennsylvania | MEDICAID | 0011782190007 |
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