Vanvooren, Marianne Eva

Vanvooren, Marianne Eva is an individual health care provider with primary practice located at 4376 7Th St , Moline IL 61265-6867. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Vanvooren, Marianne Eva can be contacted via phone (309) 762-0777.

Contact Information

Primary practice address
4376 7Th St Moline IL 61265-6867
Fax: (309) 762-0077
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085001550 Illinois

Profile Details

NPI number 1902946759
LBN Legal business name Vanvooren, Marianne Eva
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Oct 7th, 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 1902946759 NPPES
Illinois Other 085001550 ILLINOIS LICENSE

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