Vanderlaan, Leon

Vanderlaan, Leon is an individual health care provider with primary practice located at 1108 W State St , Hastings MI 49058-9711. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Vanderlaan, Leon can be contacted via phone (269) 948-3102.

Contact Information

Primary practice address
1108 W State St Hastings MI 49058-9711
Phone: (269) 948-3102
Fax: (269) 948-5891
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601001241 Michigan

Profile Details

NPI number 1275589913
LBN Legal business name Vanderlaan, Leon
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated May 15th, 2017 - about 9 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 1275589913 NPPES
Michigan Other 1104840529 BCBSM - BRONSON URGENT CARE

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