Vanoosterhout, Keith

Vanoosterhout, Keith is an individual health care provider with primary practice located at 200 Jefferson Ave Se , Grand Rapids MI 49503-4502. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Vanoosterhout, Keith can be contacted via phone (616) 776-0682.

Contact Information

Primary practice address
200 Jefferson Ave Se Grand Rapids MI 49503-4502
Phone: (616) 776-0682
Fax: (616) 685-1846
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301042561 Michigan
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 4301042561 Michigan

Profile Details

NPI number 1851329957
LBN Legal business name Vanoosterhout, Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Mar 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1851329957 NPPES
Michigan Other 0801101642 BLUE CROSS PIN
Michigan MEDICAID 4854101 BLUE CROSS PIN
Michigan Other 80059362 BLUE CROSS PIN

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