Vanderlugt, Philip J
Vanderlugt, Philip J is an individual health care provider with primary practice located at 750 E Beltline Ave Ne , Grand Rapids MI 49525-6049. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Vanderlugt, Philip J can be contacted via phone (616) 949-2600.Contact Information
Primary practice address
750 E Beltline Ave Ne
Grand Rapids MI 49525-6049
Phone: (616) 949-2600
Fax: (616) 365-2076
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 4901003840 | Michigan |
Profile Details
| NPI number | 1942204623 |
|---|---|
| LBN Legal business name | Vanderlugt, Philip J |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2005 |
| Last updated | Jun 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942204623 | NPPES |
| Michigan | MEDICAID | 3287482 | |
| Michigan | Other | 410034271 | |
| Michigan | Other | 900D16547 |
Popular Providers
-
Crank, Jay J
6748 Kalamazoo Ave Se , Grand Rapids MI 49508-7032 -
Koslowske, Diana Lowry
511 Wilson Ave Nw Suite G, Grand Rapids MI 49534-7986 -
Choryan, Gerard M
750 E Beltline Ave Ne , Grand Rapids MI 49525-6049 -
Patera, Gregory Leon
750 E Beltline Ave Ne , Grand Rapids MI 49525-6049 -
Morgan, Gregory R
1858 Breton Rd Se , Grand Rapids MI 49506-4869 -
Helms, Steven Lynn
4022 Plainfield Ave Ne , Grand Rapids MI 49525-1608 -
Den Braber, David Michael
750 E Beltline Ave Ne Ste 202, Grand Rapids MI 49525-6049 -
Chelsky, Mary P
100 Cherry St Se , Grand Rapids MI 49503-4526