Vandekerckhove, Gary Robert
Vandekerckhove, Gary Robert is an individual health care provider with primary practice located at 3100 Cross Creek Pkwy Ste 120, Auburn Hills MI 48326-2774. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Vandekerckhove, Gary Robert can be contacted via phone (248) 276-0487.Contact Information
Primary practice address
3100 Cross Creek Pkwy Ste 120
Auburn Hills MI 48326-2774
Phone: (248) 276-0487
Fax: (248) 276-8859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | Michigan |
Profile Details
| NPI number | 1578619482 |
|---|---|
| LBN Legal business name | Vandekerckhove, Gary Robert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 25th, 2007 |
| Last updated | Jul 8th, 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 | 1578619482 | NPPES |
| Michigan | MEDICAID | 3026806 |
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