Vanwoesik, Edward W

Vanwoesik, Edward W is an individual health care provider with primary practice located at 14961 W Bell Rd Ste 175 , Surprise AZ 85374-3220. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Vanwoesik, Edward W can be contacted via phone (623) 242-9830.

Contact Information

Primary practice address
14961 W Bell Rd Ste 175 Surprise AZ 85374-3220
Phone: (623) 242-9830
Fax: (623) 243-6733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X AP8508 Arizona

Profile Details

NPI number 1891155875
LBN Legal business name Vanwoesik, Edward W
Credentials ACNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2016
Last updated Jan 17th, 2019 - about 6 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 1891155875 NPPES
Arizona MEDICAID 133428

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