Veldhuyzen, Jen M

Veldhuyzen, Jen M is an sole proprietor health care provider with primary practice located at 539 W Commerce St # 213 , Dallas TX 75208-1953. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Military Health Care Provider, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Veldhuyzen, Jen M can be contacted via phone (214) 612-3863.

Contact Information

Primary practice address
539 W Commerce St # 213 Dallas TX 75208-1953
Phone: (214) 612-3863
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Military Health Care Provider 171000000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X 0101265916 Virginia

Profile Details

NPI number 1922556000
LBN Legal business name Veldhuyzen, Jen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 16th, 2016
Last updated Jul 13th, 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 1922556000 NPPES
Virginia Other 0101265916 VIRGINIA MEDICAL LICENSE
Virginia Other T3896 VIRGINIA MEDICAL LICENSE

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