Vredevoogd, Lisa J.

Vredevoogd, Lisa J. is an sole proprietor health care provider with primary practice located at 205 W 29Th St Suite 50, Holland MI 49423-6973. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Vredevoogd, Lisa J. can be contacted via phone (616) 796-9995.

Contact Information

Primary practice address
205 W 29Th St Suite 50 Holland MI 49423-6973
Fax: (616) 796-9998
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 4301071619 Michigan

Profile Details

NPI number 1487659868
LBN Legal business name Vredevoogd, Lisa J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2005
Last updated Nov 11th, 2015 - about 10 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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