Cronnelly, Roy
Cronnelly, Roy is an individual health care provider with primary practice located at 1100 Marshall Way , Placerville CA 95667-6533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Cronnelly, Roy can be contacted via phone (530) 622-1441.Contact Information
Primary practice address
1100 Marshall Way
Placerville CA 95667-6533
Phone: (530) 622-1441
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | A31062 | California |
Profile Details
| NPI number | 1851345763 |
|---|---|
| LBN Legal business name | Cronnelly, Roy |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| Last updated | Jul 9th, 2007 - about 18 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 | 1851345763 | NPPES |
| California | MEDICAID | 00A310621 |
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