Vandenberg, Steven James

Vandenberg, Steven James is an individual health care provider with primary practice located at 1520 N Meade St , Appleton WI 54911-3762. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Vandenberg, Steven James can be contacted via phone (920) 734-7181.

Contact Information

Primary practice address
1520 N Meade St Appleton WI 54911-3762
Fax: (920) 734-0621
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 35659 Wisconsin

Profile Details

NPI number 1295727345
LBN Legal business name Vandenberg, Steven James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jul 6th, 2018 - about 8 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 1295727345 NPPES
Wisconsin MEDICAID 32440900

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