Vanwingen, Thomas

Vanwingen, Thomas is an sole proprietor health care provider with primary practice located at 109 S Jackson St , Spring Lake MI 49456-2095. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Vanwingen, Thomas 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
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301042275 Michigan

Profile Details

NPI number 1679670749
LBN Legal business name Vanwingen, Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Nov 1st, 2012 - about 13 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 1679670749 NPPES
Michigan Other 1607001561 BCBSM PIN
Michigan MEDICAID 101972282 BCBSM PIN
Michigan Other 382854385 BCBSM PIN
Michigan Other P52292 BCBSM PIN

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