Vander Zalm, Glen E

Vander Zalm, Glen E is an individual health care provider with primary practice located at 3885 Oakwater Cir , Orlando FL 32806-6257. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Vander Zalm, Glen E can be contacted via phone (407) 851-5600.

Contact Information

Primary practice address
3885 Oakwater Cir Orlando FL 32806-6257
Phone: (407) 851-5600
Fax: (407) 438-9585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME91815 Florida

Profile Details

NPI number 1528033578
LBN Legal business name Vander Zalm, Glen E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Mar 24th, 2011 - about 15 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 1528033578 NPPES
Florida Other 61788 BC/BS
Florida MEDICAID 271650000 BC/BS
Florida Other 3743151 BC/BS

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