Vance, Peter Jeffrey

Vance, Peter Jeffrey is an individual health care provider with primary practice located at 607 W 29Th St , Holland MI 49423-7204. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Vance, Peter Jeffrey can be contacted via phone (616) 392-8035.

Contact Information

Primary practice address
607 W 29Th St Holland MI 49423-7204
Phone: (616) 392-8035
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X PV077860 Michigan

Profile Details

NPI number 1740243856
LBN Legal business name Vance, Peter Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Apr 21st, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740243856 NPPES
Michigan MEDICAID 4316293 10

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