Vandyke, Ronald

Vandyke, Ronald is an individual health care provider with primary practice located at 900 Peeler St , Kalamazoo MI 49008-2380. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Vandyke, Ronald can be contacted via phone (269) 345-8618.

Contact Information

Primary practice address
900 Peeler St Kalamazoo MI 49008-2380
Phone: (269) 345-8618
Fax: (269) 345-1508
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704216267 Michigan

Profile Details

NPI number 1528034287
LBN Legal business name Vandyke, Ronald
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Jul 9th, 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 1528034287 NPPES
Michigan MEDICAID 4843073

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