Vandervinne, Nathan Paul
Vandervinne, Nathan Paul is an individual health care provider with primary practice located at 3000 Saint Matthews Rd , Orangeburg SC 29118-1442. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medical Services, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Vandervinne, Nathan Paul can be contacted via phone (803) 395-2000.Contact Information
Primary practice address
3000 Saint Matthews Rd
Orangeburg SC 29118-1442
Phone: (803) 395-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 02005448A | Indiana |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 11019228A | Indiana |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 83102 | South Carolina |
Profile Details
| NPI number | 1902334568 |
|---|---|
| LBN Legal business name | Vandervinne, Nathan Paul |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 26th, 2017 |
| Last updated | Mar 15th, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902334568 | NPPES |
| Indiana | MEDICAID | 300015976 |
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