Vandongen, Philip Clark

Vandongen, Philip Clark is an individual health care provider with primary practice located at 211 Virginia Rd , Edenton NC 27932-9668. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Vandongen, Philip Clark can be contacted via phone (252) 482-8451.

Contact Information

Primary practice address
211 Virginia Rd Edenton NC 27932-9668
Phone: (252) 482-8451
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 19090 West Virginia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2012-01986 North Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 19090 West Virginia
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 2012-01986 North Carolina

Profile Details

NPI number 1982602157
LBN Legal business name Vandongen, Philip Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jun 3rd, 2021 - about 5 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 1982602157 NPPES
Virginia MEDICAID 58-0474-4
Virginia MEDICAID 0080977000

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