Van Der Westhuizen, Gert J.
Van Der Westhuizen, Gert J. is an individual health care provider with primary practice located at 130 W Ravine Rd , Kingsport TN 37660-3810. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Van Der Westhuizen, Gert J. can be contacted via phone (423) 968-1144.Contact Information
Primary practice address
130 W Ravine Rd
Kingsport TN 37660-3810
Phone: (423) 968-1144
Fax: (423) 968-3453
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 36151 | Tennessee |
Profile Details
| NPI number | 1306839105 |
|---|---|
| LBN Legal business name | Van Der Westhuizen, Gert J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1306839105 | NPPES |
| Tennessee | Other | 4037644 | BCBS |
| Tennessee | Other | R06903 | BCBS |
| Tennessee | MEDICAID | 3872101 | BCBS |
| Tennessee | Other | 385602 | BCBS |
Popular Providers
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Saadeh, Kris B
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