Debruin, Robert J
Debruin, Robert J is an sole proprietor health care provider with primary practice located at 1600 Creekside Dr Suite 3800, Folsom CA 95630-3444. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Debruin, Robert J can be contacted via phone (916) 984-7830.Contact Information
Primary practice address
1600 Creekside Dr Suite 3800
Folsom CA 95630-3444
Phone: (916) 984-7830
Fax: (916) 984-7887
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | G42656 | California |
Profile Details
NPI number | 1073507786 |
---|---|
LBN Legal business name | Debruin, Robert J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 8th, 2005 |
Last updated | Jul 8th, 2007 - about 17 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 | 1073507786 | NPPES |
California | MEDICAID | 00G426560 |
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