Vandestreek, Penny Robillard
Vandestreek, Penny Robillard is an sole proprietor health care provider with primary practice located at 1 Medical Plaza Dr Att: Nuclear Medicine, Roseville CA 95661-3037. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / In Vivo & In Vitro Nuclear Medicine, Allopathic & Osteopathic Physicians / Nuclear Medicine, Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Nuclear Medicine is her primary health care specialty. Vandestreek, Penny Robillard can be contacted via phone (916) 781-1292.Contact Information
Primary practice address
1 Medical Plaza Dr Att: Nuclear Medicine
Roseville CA 95661-3037
Phone: (916) 781-1292
Fax: (916) 663-9912
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / In Vivo & In Vitro Nuclear Medicine | 207UN0903X | 20A6232 | California |
| Allopathic & Osteopathic Physicians / Nuclear Medicine | 207U00000X | 20A6232 | California |
| Allopathic & Osteopathic Physicians / Nuclear Imaging & Therapy | 207UN0902X | 20A6232 | California |
| Allopathic & Osteopathic Physicians / Nuclear Cardiology | 207UN0901X | 20A6232 | California |
Profile Details
| NPI number | 1164463402 |
|---|---|
| LBN Legal business name | Vandestreek, Penny Robillard |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Nov 17th, 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 | 1164463402 | NPPES |
| California | MEDICAID | 00AX62320 | |
| California | Other | P00017739 |
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