Vandenberg, Scott R.

Vandenberg, Scott R. is an individual health care provider with primary practice located at 513 Parnassus Ave , San Francisco CA 94143-2205. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuropathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Neuropathology is his primary health care specialty. Vandenberg, Scott R. can be contacted via phone (415) 502-7796.

Contact Information

Primary practice address
513 Parnassus Ave San Francisco CA 94143-2205
Phone: (415) 502-7796
Fax: (415) 476-1963
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuropathology 207ZN0500X G43859 California
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G43859 California

Profile Details

NPI number 1043268055
LBN Legal business name Vandenberg, Scott R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jun 10th, 2008 - about 16 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 1043268055 NPPES
California MEDICAID 0G4385900

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