Vandergraaf, Robert Corneles

Vandergraaf, Robert Corneles is an individual health care provider with primary practice located at 300 Hospital Dr , Vallejo CA 94589. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Vandergraaf, Robert Corneles can be contacted via phone (707) 554-4444.

Contact Information

Primary practice address
300 Hospital Dr Vallejo CA 94589
Phone: (707) 554-4444
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 20A9081 California
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X 20A9081 California

Profile Details

NPI number 1689681595
LBN Legal business name Vandergraaf, Robert Corneles
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 2nd, 2006
Last updated Mar 15th, 2012 - about 13 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 1689681595 NPPES
California MEDICAID 00AX90810
California Other 020A90810

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