Vandragt, Robert Bruce
Vandragt, Robert Bruce is an sole proprietor health care provider with primary practice located at 431 Munson Ave Suite F, Traverse City MI 49686-3060. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Vandragt, Robert Bruce can be contacted via phone (231) 946-2160.Contact Information
Primary practice address
431 Munson Ave Suite F
Traverse City MI 49686-3060
Phone: (231) 946-2160
Fax: (231) 946-2161
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 2901011357 | Michigan |
Profile Details
NPI number | 1649319161 |
---|---|
LBN Legal business name | Vandragt, Robert Bruce |
Credentials | DENTIST |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 5th, 2007 |
Last updated | Jul 9th, 2007 - about 18 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 | 1649319161 | NPPES |
Michigan | MEDICAID | 4040757 |
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