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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811996846 NPPES
Indiana Other 000000692030 ANTHEM - OSCEOLA
Indiana MEDICAID 200147150A ANTHEM - OSCEOLA
Indiana Other 000000109343 ANTHEM - OSCEOLA

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