Vandenbosch, Evan Reid

Vandenbosch, Evan Reid is an individual health care provider with primary practice located at 36622 5 Mile Rd Suite 101, Livonia MI 48154-1900. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Vandenbosch, Evan Reid can be contacted via phone (734) 542-0200.

Contact Information

Primary practice address
36622 5 Mile Rd Suite 101 Livonia MI 48154-1900
Phone: (734) 542-0200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 5601007644 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601007644 Michigan

Profile Details

NPI number 1710342134
LBN Legal business name Vandenbosch, Evan Reid
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2015
Last updated Jun 12th, 2024 - about 2 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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