Vanderzwaag, Robert R.
Vanderzwaag, Robert R. is an individual health care provider with primary practice located at 5314 Lincolnway East , Mishawaka IN 46544-4249. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Vanderzwaag, Robert R. can be contacted via phone (574) 256-9032.Contact Information
Primary practice address
5314 Lincolnway East
Mishawaka IN 46544-4249
Phone: (574) 256-9032
Fax: (574) 256-9049
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01048973A | Indiana |
Profile Details
NPI number | 1811996846 |
---|---|
LBN Legal business name | Vanderzwaag, Robert R. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 20th, 2005 |
Last updated | Jan 27th, 2011 - about 14 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 | 1811996846 | NPPES |
Indiana | Other | 000000692030 | ANTHEM - OSCEOLA |
Indiana | MEDICAID | 200147150A | ANTHEM - OSCEOLA |
Indiana | Other | 000000109343 | ANTHEM - OSCEOLA |
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