Van Der Bijl, Joan
Van Der Bijl, Joan is an individual health care provider with primary practice located at 1425 Starr Ave , Toledo OH 43605-2456. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Chronically Ill, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Community, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Geropsychiatric. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult is her primary health care specialty. Van Der Bijl, Joan can be contacted via phone (419) 693-0631.Contact Information
Primary practice address
1425 Starr Ave
Toledo OH 43605-2456
Phone: (419) 693-0631
Fax: (419) 936-7546
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Adult | 364SP0809X | NS-02624 | Ohio |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Chronically Ill | 364SP0811X | NS-02624 | Ohio |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Community | 364SP0812X | NS-02624 | Ohio |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Geropsychiatric | 364SP0813X | NS-02624 | Ohio |
Profile Details
NPI number | 1598741829 |
---|---|
LBN Legal business name | Van Der Bijl, Joan |
Credentials | MSN, CNS |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 19th, 2005 |
Last updated | Jul 22nd, 2015 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598741829 | NPPES |
Ohio | MEDICAID | 0050496 |
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