Vansweden, Sally J

Vansweden, Sally J is an individual health care provider with primary practice located at 601 John St Box 74 - Bronson Internal Medicine Specialist, Kalamazoo MI 49007-5341. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Vansweden, Sally J can be contacted via phone (269) 341-8481.

Contact Information

Primary practice address
601 John St Box 74 - Bronson Internal Medicine Specialist Kalamazoo MI 49007-5341
Fax: (269) 341-7781
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301069810 Michigan

Profile Details

NPI number 1053394551
LBN Legal business name Vansweden, Sally J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Dec 28th, 2022 - about 4 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 1053394551 NPPES
Michigan Other CA2184 RAILROAD MEDICARE
Michigan MEDICAID 1053394551 RAILROAD MEDICARE
Michigan MEDICAID 4315939 RAILROAD MEDICARE

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