Botelho, Ronald J

Botelho, Ronald J is an individual health care provider with primary practice located at 1221 Farmers Ln Suite 500, Santa Rosa CA 95405-6712. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Botelho, Ronald J can be contacted via phone (707) 569-3230.

Contact Information

Primary practice address
1221 Farmers Ln Suite 500 Santa Rosa CA 95405-6712
Phone: (707) 569-3230
Fax: (707) 523-0119
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 10484 Nevada
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X G53308 California

Profile Details

NPI number 1235199373
LBN Legal business name Botelho, Ronald J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jul 15th, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235199373 NPPES
Nevada MEDICAID 100501809

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