Vanduyne, Brent

Vanduyne, Brent is an individual health care provider with primary practice located at 245 S Broadway St , Coal City IL 60416-1534. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Vanduyne, Brent can be contacted via phone (815) 634-4311.

Contact Information

Primary practice address
245 S Broadway St Coal City IL 60416-1534
Fax: (815) 634-4328
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 051.291887 Illinois

Profile Details

NPI number 1518225036
LBN Legal business name Vanduyne, Brent
Credentials PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2012
Last updated May 3rd, 2012 - about 12 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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