De La Cruz, Rolando Y

De La Cruz, Rolando Y is an individual health care provider with primary practice located at 248 Mchenry St , Burlington WI 53105-1828. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. De La Cruz, Rolando Y can be contacted via phone (262) 767-8000.

Contact Information

Primary practice address
248 Mchenry St Burlington WI 53105-1828
Phone: (262) 767-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 35883 Wisconsin
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35883 Wisconsin

Profile Details

NPI number 1861541286
LBN Legal business name De La Cruz, Rolando Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jan 24th, 2017 - about 9 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 1861541286 NPPES
Wisconsin MEDICAID 32076800

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