Vanderpool, Imaobong Ibokette
Vanderpool, Imaobong Ibokette is an individual health care provider with primary practice located at 17256 Roseland Blvd , Southfield MI 48076-2823. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Vanderpool, Imaobong Ibokette can be contacted via phone (248) 388-0881.Contact Information
Primary practice address
17256 Roseland Blvd
Southfield MI 48076-2823
Phone: (248) 388-0881
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 4704313471 | Michigan |
Profile Details
| NPI number | 1841849544 |
|---|---|
| LBN Legal business name | Vanderpool, Imaobong Ibokette |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2019 |
| Last updated | Sep 5th, 2019 - about 5 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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