Vander Sande, Paul Edwin

Vander Sande, Paul Edwin is an sole proprietor health care provider with primary practice located at 2320 Dean St Ste 101 , St Charles IL 60175-1068. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Vander Sande, Paul Edwin can be contacted via phone (630) 443-7754.

Contact Information

Primary practice address
2320 Dean St Ste 101 St Charles IL 60175-1068
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180-002779 Illinois

Profile Details

NPI number 1912168832
LBN Legal business name Vander Sande, Paul Edwin
Credentials L. C. P. C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 23rd, 2008
Last updated Jun 23rd, 2008 - about 17 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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