NICHOLAS ALAN VANDENBOSCH D.O. NPI 1336438514

NPI Information

NPI: 1336438514
Provider Name: NICHOLAS ALAN VANDENBOSCH, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
1223 MERCY DR
MUSKEGON, MI
ZIP 49444
Phone: (231) 672-3177
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Nicholas Alan Vandenbosch, D.O. is a family medicine in Muskegon, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Nicholas Alan Vandenbosch, D.O. NPI is 1336438514. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1223 MERCY DR
MUSKEGON, MI
ZIP 49444-829
Phone: (231) 672-3177
Fax: (231) 672-3178

The enumeration date for this NPI number is 3/28/2011 and was last updated on 3/5/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		5101019297	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	N28430104	OTHER	MICHIGAN	MEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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