Van Der Werf, Willem J

Van Der Werf, Willem J is an individual health care provider with primary practice located at 2218 N 3Rd St , Phoenix AZ 85004-1401. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Transplant Surgery. Allopathic & Osteopathic Physicians / Transplant Surgery is his primary health care specialty. Van Der Werf, Willem J can be contacted via phone (602) 252-2543.

Contact Information

Primary practice address
2218 N 3Rd St Phoenix AZ 85004-1401
Phone: (602) 252-2543
Fax: (602) 252-3861
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 5249271205 Utah
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X 49927 Arizona

Profile Details

NPI number 1275563397
LBN Legal business name Van Der Werf, Willem J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 4th, 2006
Last updated Oct 8th, 2020 - about 4 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 1275563397 NPPES
Other 52492781200001 BLUE CROSS BLUE SHIELD
Other 4658850 BLUE CROSS BLUE SHIELD
Other TPRA07781 BLUE CROSS BLUE SHIELD
MEDICAID 119626000 BLUE CROSS BLUE SHIELD
Other QM000006442 BLUE CROSS BLUE SHIELD
MEDICAID 806894300 BLUE CROSS BLUE SHIELD

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