Verwilghen, Johanna Jacoba

Verwilghen, Johanna Jacoba is an sole proprietor health care provider with primary practice located at 16815 E Jefferson Ave Suite 220, Grosse Pointe MI 48230-1923. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Verwilghen, Johanna Jacoba can be contacted via phone (313) 831-1100.

Contact Information

Primary practice address
16815 E Jefferson Ave Suite 220 Grosse Pointe MI 48230-1923
Phone: (313) 831-1100
Fax: (313) 831-1177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301077528 Michigan
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 4301077528 Michigan

Profile Details

NPI number 1316987142
LBN Legal business name Verwilghen, Johanna Jacoba
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 8th, 2006
Last updated Feb 22nd, 2017 - about 9 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 1316987142 NPPES
Michigan Other 1108235412 BCBS
Michigan Other 026068 BCBS

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