Vandiepen, Patricia Gail

Vandiepen, Patricia Gail is an individual health care provider with primary practice located at 279 S Yonge St , Ormond Beach FL 32174-6257. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Vandiepen, Patricia Gail can be contacted via phone (386) 673-2133.

Contact Information

Primary practice address
279 S Yonge St Ormond Beach FL 32174-6257
Phone: (386) 673-2133
Fax: (386) 673-2743
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS7544 Florida

Profile Details

NPI number 1568435659
LBN Legal business name Vandiepen, Patricia Gail
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Jul 8th, 2007 - about 17 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 1568435659 NPPES
Florida Other 57583 BCBS NUMBER
Florida Other 567660 BCBS NUMBER
Florida Other P00096989 BCBS NUMBER

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