Vanhaitsma, Kimberly Sue
Vanhaitsma, Kimberly Sue is an sole proprietor health care provider with primary practice located at 1425 Horsham Rd , North Wales PA 19454-1320. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Vanhaitsma, Kimberly Sue can be contacted via phone (215) 371-1895.Contact Information
Primary practice address
1425 Horsham Rd
North Wales PA 19454-1320
Phone: (215) 371-1895
Fax: (215) 371-3015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS006311L | Pennsylvania |
Profile Details
| NPI number | 1063655371 |
|---|---|
| LBN Legal business name | Vanhaitsma, Kimberly Sue |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 16th, 2009 |
| Last updated | Apr 16th, 2009 - about 16 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 | 1063655371 | NPPES |
| Pennsylvania | MEDICAID | 01539769 |
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