Haneffant, Maria-Dolores Cerqueira

Haneffant, Maria-Dolores Cerqueira is an individual health care provider with primary practice located at 3100 Douglas Blvd , Roseville CA 95661-3866. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Haneffant, Maria-Dolores Cerqueira can be contacted via phone (916) 774-8300.

Contact Information

Primary practice address
3100 Douglas Blvd Roseville CA 95661-3866
Phone: (916) 774-8300
Fax: (916) 773-7145
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA13226 California

Profile Details

NPI number 1063517761
LBN Legal business name Haneffant, Maria-Dolores Cerqueira
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2006
Last updated Jul 24th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063517761 NPPES
California Other PA13226 PHYSICIAN ASSIST LIC

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