Vanvalkenburg, Wendy Wambaugh

Vanvalkenburg, Wendy Wambaugh is an sole proprietor health care provider with primary practice located at 21812 Woodland Rd , Houghton MI 49931-9003. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Vanvalkenburg, Wendy Wambaugh can be contacted via phone (906) 523-2448.

Contact Information

Primary practice address
21812 Woodland Rd Houghton MI 49931-9003
Phone: (906) 523-2448
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 569856-1 New York
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X

Profile Details

NPI number 1518161058
LBN Legal business name Vanvalkenburg, Wendy Wambaugh
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2007
Last updated Jan 31st, 2013 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518161058 NPPES
Michigan Other NPI#1518161058 MESSA, BLUE CROSS BLUE SHIELD OF MICHIGNA
Michigan MEDICAID NPI#1518161058 MESSA, BLUE CROSS BLUE SHIELD OF MICHIGNA

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