Vandervelden, Marc Lee
Vandervelden, Marc Lee is an sole proprietor health care provider with primary practice located at 3200 Westown Pkwy , West Des Moines IA 50266-1110. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Vandervelden, Marc Lee can be contacted via phone (515) 276-1212.Contact Information
Primary practice address
3200 Westown Pkwy
West Des Moines IA 50266-1110
Phone: (515) 276-1212
Fax: (515) 276-3194
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 03548 | Iowa |
Profile Details
NPI number | 1972561637 |
---|---|
LBN Legal business name | Vandervelden, Marc Lee |
Credentials | DPT CSCS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 3rd, 2006 |
Last updated | Aug 7th, 2012 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1972561637 | NPPES |
Iowa | Other | 37197 | IND |
Iowa | Other | 37198 | IND |
Iowa | Other | 39199 | IND |
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