Vanderwaal, William K.
Vanderwaal, William K. is an sole proprietor health care provider with primary practice located at 2103 E Washington St , Bloomington IL 61701-4310. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Vanderwaal, William K. can be contacted via phone (309) 662-3355.Contact Information
Primary practice address
2103 E Washington St
Bloomington IL 61701-4310
Phone: (309) 662-3355
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | Illinois |
Profile Details
| NPI number | 1720004070 |
|---|---|
| LBN Legal business name | Vanderwaal, William K. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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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