Van Pelt, Andrea Emma
Van Pelt, Andrea Emma is an individual health care provider with primary practice located at 4070 Lake Drive Se Suite 202, Grand Rapids MI 49546. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Van Pelt, Andrea Emma can be contacted via phone (616) 464-4420.Contact Information
Primary practice address
4070 Lake Drive Se Suite 202
Grand Rapids MI 49546
Phone: (616) 464-4420
Fax: (616) 464-4354
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 4301095522 | Michigan |
Profile Details
| NPI number | 1285756148 |
|---|---|
| LBN Legal business name | Van Pelt, Andrea Emma |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2007 |
| Last updated | Mar 6th, 2013 - about 13 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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