Vande Garde, Trent L.

Vande Garde, Trent L. is an individual health care provider with primary practice located at 619 Sw Corporate View , Topeka KS 66615. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Vande Garde, Trent L. can be contacted via phone (785) 235-3322.

Contact Information

Primary practice address
619 Sw Corporate View Topeka KS 66615
Phone: (785) 235-3322
Fax: (785) 235-1217
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 04-28231 Kansas

Profile Details

NPI number 1023128691
LBN Legal business name Vande Garde, Trent L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Oct 8th, 2013 - about 12 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 1023128691 NPPES
Kansas Other 180042685 PALMETTO GBA
Kansas MEDICAID 100421700A PALMETTO GBA
Kansas Other 101177 PALMETTO GBA

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