Vandekrol, Luke J

Vandekrol, Luke J is an individual health care provider with primary practice located at 21601 76Th Ave W , Edmonds WA 98026-7507. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Vandekrol, Luke J can be contacted via phone (425) 640-4981.

Contact Information

Primary practice address
21601 76Th Ave W Edmonds WA 98026-7507
Fax: (206) 860-6726
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN60970766 Washington
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP61333792 Washington

Profile Details

NPI number 1336672849
LBN Legal business name Vandekrol, Luke J
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2017
Last updated Dec 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336672849 NPPES
Washington MEDICAID 2148969

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