Vanlente, Philip

Vanlente, Philip is an individual health care provider with primary practice located at 200 Jefferson Ave Se , Grand Rapids MI 49503-4502. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medical Services is his primary health care specialty. Vanlente, Philip can be contacted via phone (800) 968-6866.

Contact Information

Primary practice address
200 Jefferson Ave Se Grand Rapids MI 49503-4502
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 4301038153 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301038153 Michigan
Allopathic & Osteopathic Physicians / Emergency Medical Services 207PE0004X 4301038153 Michigan

Profile Details

NPI number 1194710111
LBN Legal business name Vanlente, Philip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2005
Last updated Mar 4th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194710111 NPPES
Michigan MEDICAID 1443748
Michigan Other PV038153

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