Vandervelden, Marc Lee

Vandervelden, Marc Lee is an sole proprietor health care provider with primary practice located at 3200 Westown Pkwy , West Des Moines IA 50266-1110. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Vandervelden, Marc Lee can be contacted via phone (515) 276-1212.

Contact Information

Primary practice address
3200 Westown Pkwy West Des Moines IA 50266-1110
Phone: (515) 276-1212
Fax: (515) 276-3194
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 03548 Iowa

Profile Details

NPI number 1972561637
LBN Legal business name Vandervelden, Marc Lee
Credentials DPT CSCS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2006
Last updated Aug 7th, 2012 - about 14 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 1972561637 NPPES
Iowa Other 37197 IND
Iowa Other 37198 IND
Iowa Other 39199 IND

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