Vanwingen, Kimberly A

Vanwingen, Kimberly A is an sole proprietor health care provider with primary practice located at 109 S Jackson St , Spring Lake MI 49456-2095. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Vanwingen, Kimberly A can be contacted via phone (616) 842-7406.

Contact Information

Primary practice address
109 S Jackson St Spring Lake MI 49456-2095
Phone: (616) 842-7406
Fax: (616) 844-7056
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 4704169207 Michigan

Profile Details

NPI number 1518029248
LBN Legal business name Vanwingen, Kimberly A
Credentials CNM RN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2006
Last updated Feb 15th, 2021 - about 4 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 1518029248 NPPES
Michigan Other 4208758280 BCBS
Michigan Other P111269 BCBS
Michigan Other 382854385 BCBS

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