Selby-Penczak, Rachel M.

Selby-Penczak, Rachel M. is an individual health care provider with primary practice located at 1250 E Marshall St , Richmond VA 23298-5051. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Selby-Penczak, Rachel M. can be contacted via phone (828) 530-6804.

Contact Information

Primary practice address
1250 E Marshall St Richmond VA 23298-5051
Fax: (828) 398-3804
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0101058351 Virginia
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 0101058351 Virginia

Profile Details

NPI number 1427148071
LBN Legal business name Selby-Penczak, Rachel M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Feb 12th, 2013 - 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 1427148071 NPPES
Virginia MEDICAID 5829569

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