Vandyken, Maximus Alexander

Vandyken, Maximus Alexander is an individual health care provider with primary practice located at 2925 Breton Rd Se , Grand Rapids MI 49512-1745. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Technologists, Technicians & Other Technical Service Providers / Technician, Other. Technologists, Technicians & Other Technical Service Providers / Technician, Other is her primary health care specialty. Vandyken, Maximus Alexander can be contacted via phone (616) 243-4336.

Contact Information

Primary practice address
2925 Breton Rd Se Grand Rapids MI 49512-1745
Phone: (616) 243-4336
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1447963707
LBN Legal business name Vandyken, Maximus Alexander
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2023
Last updated Oct 26th, 2023 - about 3 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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