Vanbezooyen, Jack
Vanbezooyen, Jack is an sole proprietor health care provider with primary practice located at 240 Tamal Vista Blvd , Corte Madera CA 94925-1132. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Vanbezooyen, Jack can be contacted via phone (916) 969-7074.Contact Information
Primary practice address
240 Tamal Vista Blvd
Corte Madera CA 94925-1132
Phone: (916) 969-7074
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 171751 | California |
Profile Details
NPI number | 1346773504 |
---|---|
LBN Legal business name | Vanbezooyen, Jack |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 5th, 2017 |
Last updated | May 31st, 2022 - about 2 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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