Erin L Vandyke in Grand Rapids - Physician Assistant
Erin L Vandyke - NPI 1396872115
Erin L Vandyke is a Physician Assistant in Grand Rapids, Michigan. Erin L Vandyke practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Erin L Vandyke is 1396872115. The last update date is 2017-07-28.
Erin L Vandyke's current location address is 3264 N Evergreen Dr Ne, Grand Rapids, Michigan. You can contact this provider via phone number 6163637339 and fax number 6163615828. The mailing address for Erin L Vandyke is 3264 N Evergreen Dr Ne, Grand Rapids, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Erin L Vandyke |
|---|---|
| Address | 3264 N Evergreen Dr Ne, Grand Rapids, Michigan |
| Phone Number | 6163637339 |
| Fax Number | 6163615828 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1396872115 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2017-07-28 |
Provider Mailing Address Detail
| Address | 3264 N Evergreen Dr Ne |
|---|---|
| City | Grand Rapids |
| State | Michigan (MI) |
| Post Code | 495259746 |
| Phone Number | 6163637339 |
| Fax Number | 6163615828 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 5601004512 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5601004512 | MI | PA LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Erin L Vandyke by the Centers for Medicare & Medicaid Services?
The Erin L Vandyke has been issued the NPI (National Provider Identifier) 1396872115 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Erin L Vandyke is physically located?
The Erin L Vandyke is physically situated at the following address: 3264 N Evergreen Dr Ne, Grand Rapids, MI, 495259746.
What is the Erin L Vandyke's area of specialization and corresponding taxonomy classification?
The Erin L Vandyke's specialty field is Physician Assistant, and it falls under the taxonomy code 363A00000X, which categorizes healthcare providers based on their specialties.
When did the Erin L Vandyke receive its 1396872115?
The Erin L Vandyke was issued its 1396872115 on 2007-02-28, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Erin L Vandyke last refreshed?
The information related to the Erin L Vandyke, including its address, specialty, and other relevant details, was last updated on 2017-07-28.