Vandyke, Brent Ward

Vandyke, Brent Ward is an individual health care provider with primary practice located at 2770 E Beltline Ave Ne , Grand Rapids MI 49525-8614. 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. Vandyke, Brent Ward can be contacted via phone (616) 267-8860.

Contact Information

Primary practice address
2770 E Beltline Ave Ne Grand Rapids MI 49525-8614
Phone: (616) 267-8860
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601003590 Michigan

Profile Details

NPI number 1588651665
LBN Legal business name Vandyke, Brent Ward
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Nov 5th, 2024 - about 2 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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