Druivenga, Stacy

Druivenga, Stacy is an individual health care provider with primary practice located at 1600 Eureka Rd , Roseville CA 95661-3027. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neonatal/Pediatrics, which is considered as her primary health care specialty. Druivenga, Stacy can be contacted via phone (916) 474-7777.

Contact Information

Primary practice address
1600 Eureka Rd Roseville CA 95661-3027
Phone: (916) 474-7777
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neonatal/Pediatrics 2278P3900X 25030 California

Profile Details

NPI number 1831660182
LBN Legal business name Druivenga, Stacy
Credentials RCP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2018
Last updated Dec 16th, 2018 - about 8 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 1831660182 NPPES
California Other 25030 RESPIRATORY

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