Vandyke, Carole

Vandyke, Carole is an individual health care provider with primary practice located at 261 Mack Ave , Detroit MI 48201-2417. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Vandyke, Carole can be contacted via phone (313) 745-7351.

Contact Information

Primary practice address
261 Mack Ave Detroit MI 48201-2417
Phone: (313) 745-7351
Fax: (313) 745-2376
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601002838 Michigan

Profile Details

NPI number 1114997228
LBN Legal business name Vandyke, Carole
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jan 8th, 2009 - about 17 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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