Vandenberg, David

Vandenberg, David is an individual health care provider with primary practice located at 4967 Crooks Rd Suite 130, Troy MI 48098-5801. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Vandenberg, David can be contacted via phone (248) 952-1601.

Contact Information

Primary practice address
4967 Crooks Rd Suite 130 Troy MI 48098-5801
Phone: (248) 952-1601
Fax: (248) 952-0192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301051758 Michigan
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 4301051758 Michigan

Profile Details

NPI number 1841284585
LBN Legal business name Vandenberg, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2005
Last updated Oct 31st, 2007 - about 18 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 1841284585 NPPES
Michigan Other DV051758 BCBSM
Michigan MEDICAID 4846610 BCBSM

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