Vanderweide, Timothy

Vanderweide, Timothy is an individual health care provider with primary practice located at 201 Albert Ave , Scott City KS 67871. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Vanderweide, Timothy can be contacted via phone (620) 872-5811.

Contact Information

Primary practice address
201 Albert Ave Scott City KS 67871
Phone: (620) 872-5811
Fax: (620) 872-3660
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 13-112281-051 Kansas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 557379 Kansas

Profile Details

NPI number 1023482072
LBN Legal business name Vanderweide, Timothy
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2015
Last updated Dec 28th, 2017 - about 7 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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