Vander Griend, Keith J
Vander Griend, Keith J is an individual health care provider with primary practice located at 2940 Squalicum Pkwy Suite 204, Bellingham WA 98225-1892. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Vander Griend, Keith J can be contacted via phone (360) 733-0070.Contact Information
Primary practice address
2940 Squalicum Pkwy Suite 204
Bellingham WA 98225-1892
Phone: (360) 733-0070
Fax: (360) 676-8351
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD00037002 | Washington |
Profile Details
| NPI number | 1740222728 |
|---|---|
| LBN Legal business name | Vander Griend, Keith J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Jul 25th, 2012 - about 12 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 | 1740222728 | NPPES |
| Washington | MEDICAID | 8240863 |
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