Vangennip, Autumn Rose

Vangennip, Autumn Rose is an individual health care provider with primary practice located at 408 S Broadview St , Cape Girardeau MO 63703-5725. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Vangennip, Autumn Rose can be contacted via phone (573) 332-0808.

Contact Information

Primary practice address
408 S Broadview St Cape Girardeau MO 63703-5725
Phone: (573) 332-0808
Fax: (573) 339-7945
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 2011017963 Missouri

Profile Details

NPI number 1609295674
LBN Legal business name Vangennip, Autumn Rose
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2014
Last updated Apr 7th, 2014 - about 11 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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