Van Til, Kathleen Sue
Van Til, Kathleen Sue is an individual health care provider with primary practice located at 588 E Lakewood Blvd , Holland MI 49424-2023. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Van Til, Kathleen Sue can be contacted via phone (616) 494-5810.Contact Information
Primary practice address
588 E Lakewood Blvd
Holland MI 49424-2023
Phone: (616) 494-5810
Fax: (616) 494-5901
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 4704151536 | Michigan |
Profile Details
| NPI number | 1710224019 |
|---|---|
| LBN Legal business name | Van Til, Kathleen Sue |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 8th, 2013 |
| Last updated | Feb 15th, 2021 - about 5 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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