Van Wert, John West

Van Wert, John West is an individual health care provider with primary practice located at 531 N Maitland Ave , Maitland FL 32751-4421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Van Wert, John West can be contacted via phone (321) 397-1212.

Contact Information

Primary practice address
531 N Maitland Ave Maitland FL 32751-4421
Fax: (321) 397-1213
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME48680 Florida

Profile Details

NPI number 1437151313
LBN Legal business name Van Wert, John West
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Dec 18th, 2018 - about 6 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 1437151313 NPPES
Florida MEDICAID 048316800

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