Vandenberge, Glen C
Vandenberge, Glen C is an individual health care provider with primary practice located at 416 Valley View Dr # 100 , Scottsbluff NE 69361-1486. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Vandenberge, Glen C can be contacted via phone (308) 635-1633.Contact Information
Primary practice address
416 Valley View Dr # 100
Scottsbluff NE 69361-1486
Phone: (308) 635-1633
Fax: (308) 635-2880
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 797 | Nebraska |
Profile Details
NPI number | 1982600441 |
---|---|
LBN Legal business name | Vandenberge, Glen C |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 21st, 2005 |
Last updated | Aug 19th, 2008 - about 16 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 | 1982600441 | NPPES |
Other | 1982600441 | DR. VANDENBERGE NPI | |
Other | 1710903984 | DR. VANDENBERGE NPI |
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