Vanderwoude, Ian
Vanderwoude, Ian is an individual health care provider with primary practice located at 9210 Golf Course Rd Nw , Albuquerque NM 87114-5891. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Vanderwoude, Ian can be contacted via phone (505) 899-3933.Contact Information
Primary practice address
9210 Golf Course Rd Nw
Albuquerque NM 87114-5891
Phone: (505) 899-3933
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA2011-0015 | New Mexico |
Profile Details
| NPI number | 1851686414 |
|---|---|
| LBN Legal business name | Vanderwoude, Ian |
| Credentials | PA-C, MSPAS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2011 |
| Last updated | Jun 12th, 2011 - 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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