Vandenberg, William Christian

Vandenberg, William Christian is an individual health care provider with primary practice located at 235 Wealthy St Se Suite 100, Grand Rapids MI 49503-5229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Vandenberg, William Christian can be contacted via phone (616) 840-8186.

Contact Information

Primary practice address
235 Wealthy St Se Suite 100 Grand Rapids MI 49503-5229
Phone: (616) 840-8186
Fax: (616) 840-9637
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 4301054341 Michigan

Profile Details

NPI number 1700829686
LBN Legal business name Vandenberg, William Christian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated May 19th, 2015 - about 10 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 1700829686 NPPES
Michigan Other WV054341 STATE LICENSE
Michigan MEDICAID 2577414 STATE LICENSE

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