Vanderschaaf, Lyle J

Vanderschaaf, Lyle J is an individual health care provider with primary practice located at 420 W Magnetic St Suite Er, Marquette MI 49855-2711. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Vanderschaaf, Lyle J can be contacted via phone (888) 674-0854.

Contact Information

Primary practice address
420 W Magnetic St Suite Er Marquette MI 49855-2711
Phone: (888) 674-0854
Fax: (906) 225-3370
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301070441 Michigan
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301070441 Michigan

Profile Details

NPI number 1063497386
LBN Legal business name Vanderschaaf, Lyle J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Jul 10th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063497386 NPPES
Michigan Other 4301070441 MICHIGAN LICENSE #

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