Vanderstoep, Philip H

Vanderstoep, Philip H is an individual health care provider with primary practice located at 1990 Connecticut Ave S , Sartell MN 56377-2554. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Vanderstoep, Philip H can be contacted via phone (320) 257-5595.

Contact Information

Primary practice address
1990 Connecticut Ave S Sartell MN 56377-2554
Phone: (320) 257-5595
Fax: (320) 257-5596
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 22588 Minnesota

Profile Details

NPI number 1386644730
LBN Legal business name Vanderstoep, Philip H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Aug 12th, 2011 - about 13 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 1386644730 NPPES
Minnesota MEDICAID 104072300
Minnesota Other 300039116
Minnesota Other 106088C561
Minnesota Other 26650
Minnesota Other 16-29701
Minnesota Other 965251008761
Minnesota Other 54886VA
Minnesota Other HP25529
Minnesota Other 411772562

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