Vandaele, James Michael

Vandaele, James Michael is an individual health care provider with primary practice located at 17877 W 14 Mile Rd , Beverly Hills MI 48025. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Vandaele, James Michael can be contacted via phone (248) 644-3920.

Contact Information

Primary practice address
17877 W 14 Mile Rd Beverly Hills MI 48025
Phone: (248) 644-3920
Fax: (248) 644-2569
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 018604 New York
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5601008593 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601008593 Michigan

Profile Details

NPI number 1396122883
LBN Legal business name Vandaele, James Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2015
Last updated Aug 3rd, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396122883 NPPES
Michigan Other 5601008593 PHYSICIAN ASSISTANT LICENSE FOR THE STATE OF MICHIGAN
Michigan Other 5315090542 PHYSICIAN ASSISTANT LICENSE FOR THE STATE OF MICHIGAN

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