Vanantwerp, Carol Ann
Vanantwerp, Carol Ann is an individual health care provider with primary practice located at 5629 Stadium Dr , Kalamazoo MI 49009-1952. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Vanantwerp, Carol Ann can be contacted via phone (269) 372-1000.Contact Information
Primary practice address
5629 Stadium Dr
Kalamazoo MI 49009-1952
Phone: (269) 372-1000
Fax: (269) 372-0698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 4704078169 | Michigan |
Profile Details
| NPI number | 1043408172 |
|---|---|
| LBN Legal business name | Vanantwerp, Carol Ann |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2007 |
| Last updated | Sep 23rd, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043408172 | NPPES |
| Michigan | Other | 500C912770 | BCBS |
| Michigan | MEDICAID | 1043408172 | BCBS |
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