Wybenga, Maarten Adriaan J
Wybenga, Maarten Adriaan J is an individual health care provider with primary practice located at 1321 North County Highway 395 , Santa Rosa Beach FL 32459. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Wybenga, Maarten Adriaan J can be contacted via phone (850) 213-1133.Contact Information
Primary practice address
1321 North County Highway 395
Santa Rosa Beach FL 32459
Phone: (850) 213-1133
Fax: (850) 213-2533
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 13662 | Alabama |
Profile Details
| NPI number | 1902987555 |
|---|---|
| LBN Legal business name | Wybenga, Maarten Adriaan J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Dec 10th, 2024 - about 2 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 | 1902987555 | NPPES |
| Alabama | MEDICAID | 051515040 | |
| Alabama | Other | 51515040 |
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