Vankuiken, Jerry Evert

Vankuiken, Jerry Evert is an individual health care provider with primary practice located at 1445 Sheldon Rd Suite 302, Grand Haven MI 49417-2480. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Vankuiken, Jerry Evert can be contacted via phone (616) 842-3250.

Contact Information

Primary practice address
1445 Sheldon Rd Suite 302 Grand Haven MI 49417-2480
Phone: (616) 842-3250
Fax: (616) 842-0754
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 430103899 Michigan

Profile Details

NPI number 1558366542
LBN Legal business name Vankuiken, Jerry Evert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jan 19th, 2012 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1558366542 NPPES
Michigan MEDICAID 3108090

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