Dengerink-Vantil, Lara
Dengerink-Vantil, Lara is an individual health care provider with primary practice located at 245 Cherry St Se Ste 200 , Grand Rapids MI 49503. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Dengerink-Vantil, Lara can be contacted via phone (616) 685-3330.Contact Information
Primary practice address
245 Cherry St Se Ste 200
Grand Rapids MI 49503
Phone: (616) 685-3330
Fax: (616) 685-3349
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 4704302218 | Michigan |
Profile Details
| NPI number | 1679023501 |
|---|---|
| LBN Legal business name | Dengerink-Vantil, Lara |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2016 |
| Last updated | Sep 20th, 2018 - about 8 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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