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
Phone: (309) 762-0777
Fax: (309) 762-0077
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1902946759 | NPPES |
Illinois | Other | 085001550 | ILLINOIS LICENSE |
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