Van Ravesteyn, Jan A

Van Ravesteyn, Jan A is an individual health care provider with primary practice located at 304 Winecoff School Road Winecoff Family Practice, Concord NC 28027. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Van Ravesteyn, Jan A can be contacted via phone (704) 262-7901.

Contact Information

Primary practice address
304 Winecoff School Road Winecoff Family Practice Concord NC 28027
Phone: (704) 262-7901
Fax: (704) 262-7902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9701631 North Carolina

Profile Details

NPI number 1639119860
LBN Legal business name Van Ravesteyn, Jan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Feb 8th, 2013 - about 12 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 1639119860 NPPES
North Carolina Other 1208V BCBS
North Carolina MEDICAID 891208V BCBS

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