Vandewalle, Kraig Stephen
Vandewalle, Kraig Stephen is an individual health care provider with primary practice located at 1100 Wilford Hall Loop Bldg 4554 , Jbsa Lackland TX 78236-5638. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Vandewalle, Kraig Stephen can be contacted via phone (210) 292-0760.Contact Information
Primary practice address
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland TX 78236-5638
Phone: (210) 292-0760
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 14137 | Texas |
Profile Details
| NPI number | 1396710182 |
|---|---|
| LBN Legal business name | Vandewalle, Kraig Stephen |
| Credentials | DDS, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2006 |
| Last updated | Jan 27th, 2021 - about 3 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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