Vankuiken, Jerry Evert
Vankuiken, Jerry Evert is an individual health care provider with primary practice located at 1445 Sheldon Rd Suite 302, Grand Haven MI 49417-2480. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Vankuiken, Jerry Evert can be contacted via phone (616) 842-3250.Contact Information
Primary practice address
1445 Sheldon Rd Suite 302
Grand Haven MI 49417-2480
Phone: (616) 842-3250
Fax: (616) 842-0754
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 430103899 | Michigan |
Profile Details
| NPI number | 1558366542 |
|---|---|
| LBN Legal business name | Vankuiken, Jerry Evert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Jan 19th, 2012 - about 13 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 | 1558366542 | NPPES |
| Michigan | MEDICAID | 3108090 |
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