Vanwagnen, Lynn Clark
Vanwagnen, Lynn Clark is an sole proprietor health care provider with primary practice located at 1310 Greenwood Ave , Jackson MI 49203-3077. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Vanwagnen, Lynn Clark can be contacted via phone (517) 787-1990.Contact Information
Primary practice address
1310 Greenwood Ave
Jackson MI 49203-3077
Phone: (517) 787-1990
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301038051 | Michigan |
Profile Details
| NPI number | 1609833359 |
|---|---|
| LBN Legal business name | Vanwagnen, Lynn Clark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 27th, 2006 |
| Last updated | Oct 10th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609833359 | NPPES |
| Michigan | Other | 110241201 | RR MEDICARE |
| Michigan | MEDICAID | 101587882 | RR MEDICARE |
Popular Providers
-
Shaikh, Shahzad
505 N Jackson St , Jackson MI 49201-1266 -
Motoc, Vlad Tudor
205 N East Ave , Jackson MI 49201-1753 -
Brillantes, Rafael C
426 N Jackson St , Jackson MI 49201-1235 -
Beredo, Rolando Manalo
426 N Jackson St , Jackson MI 49201-1235 -
Johnson, Rose
505 N Jackson St , Jackson MI 49201-1266 -
Tellawi, Essam Y.
205 N East Ave , Jackson MI 49201-1753 -
Cheema, Qaisar Sayeed
205 N East Ave , Jackson MI 49201-1753 -
Naylor, Gregory A
505 N Jackson St , Jackson MI 49201-1266