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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 12 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 1174500722 NPPES
Pennsylvania MEDICAID 0011782190007

Popular Providers