Van Beek, Devon

Van Beek, Devon is an sole proprietor health care provider with primary practice located at 2414 Kohler Memorial Dr , Sheboygan WI 53081-3129. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Podiatrist. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Van Beek, Devon can be contacted via phone (920) 457-4461.

Contact Information

Primary practice address
2414 Kohler Memorial Dr Sheboygan WI 53081-3129
Phone: (920) 457-4461
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 1320-25 Wisconsin
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 1320-25 Wisconsin

Profile Details

NPI number 1245854587
LBN Legal business name Van Beek, Devon
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2020
Last updated Jan 24th, 2024 - about 10 months 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 1245854587 NPPES
Wisconsin MEDICAID 100251831

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