Booth Vander Wel, Greg Allen

Booth Vander Wel, Greg Allen is an individual health care provider with primary practice located at 470 Baltimore Dr Ne , Grand Rapids MI 49503-3934. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Booth Vander Wel, Greg Allen can be contacted via phone (616) 726-1909.

Contact Information

Primary practice address
470 Baltimore Dr Ne Grand Rapids MI 49503-3934
Phone: (616) 726-1909
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 4703114773 Michigan

Profile Details

NPI number 1023680964
LBN Legal business name Booth Vander Wel, Greg Allen
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2021
Last updated Jul 12th, 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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