Van Wieren, Clare Royce
Van Wieren, Clare Royce is an individual health care provider with primary practice located at 601 Michigan Ave Suite 200, Holland MI 49423-4951. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Van Wieren, Clare Royce can be contacted via phone (616) 392-5573.Contact Information
Primary practice address
601 Michigan Ave Suite 200
Holland MI 49423-4951
Phone: (616) 392-5573
Fax: (616) 392-9610
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 2901009802 | Michigan |
Profile Details
| NPI number | 1649254707 |
|---|---|
| LBN Legal business name | Van Wieren, Clare Royce |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 2nd, 2005 |
| Last updated | Jul 9th, 2007 - about 17 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 | 1649254707 | NPPES |
| Michigan | MEDICAID | 4062988 | |
| Michigan | MEDICAID | 2980529 | |
| Michigan | Other | 9757063760 | |
| Michigan | Other | D098020 |
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