Vanantwerp, Kenneth J

Vanantwerp, Kenneth J is an individual health care provider with primary practice located at 426 Main St , Berlin PA 15530-1229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Vanantwerp, Kenneth J can be contacted via phone (814) 267-4603.

Contact Information

Primary practice address
426 Main St Berlin PA 15530-1229
Phone: (814) 267-4603
Fax: (814) 267-6467
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD025369E Pennsylvania

Profile Details

NPI number 1447263942
LBN Legal business name Vanantwerp, Kenneth J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Jul 8th, 2007 - about 19 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 1447263942 NPPES
Pennsylvania MEDICAID 0009359180012

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