Vandervort, Mark
Vandervort, Mark is an individual health care provider with primary practice located at 4280 Meridian St Ste 120, Bellingham WA 98226-6464. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Vandervort, Mark can be contacted via phone (360) 734-4300.Contact Information
Primary practice address
4280 Meridian St Ste 120
Bellingham WA 98226-6464
Phone: (360) 734-4300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 60055369 | Washington |
Profile Details
| NPI number | 1124214358 |
|---|---|
| LBN Legal business name | Vandervort, Mark |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2007 |
| Last updated | Oct 21st, 2009 - about 16 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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