Petruncio, Claudia M
Petruncio, Claudia M is an individual health care provider with primary practice located at 3 Marcela Dr , Willits CA 95490-5769. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Petruncio, Claudia M can be contacted via phone (707) 459-6115.Contact Information
Primary practice address
3 Marcela Dr
Willits CA 95490-5769
Phone: (707) 459-6115
Fax: (856) 429-3794
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS005158 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MB04695500 | New Jersey |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 15732 | California |
Profile Details
| NPI number | 1699719369 |
|---|---|
| LBN Legal business name | Petruncio, Claudia M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2006 |
| Last updated | Mar 7th, 2023 - about last year |
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 | 1699719369 | NPPES |
| New Jersey | MEDICAID | 201290120 | |
| New Jersey | Other | DO44603 |
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