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JOSEPH Y VANDEN BOSCH, MD – NPI #1457315095
Interventional Pain Medicine

NPI Profile for JOSEPH Y VANDEN BOSCH in GRAND RAPIDS, MI.

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Contact Information

JOSEPH Y VANDEN BOSCH, MD
4100 LAKE DR SE
SUITE 305
GRAND RAPIDS, MI  49546
 Phone: 616-285-1377
 Fax: 616-285-1006
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

 208VP0014X 09 Physician/Interventional Pain Management
Indicates primary specialty

NPI Profile & details for JOSEPH Y VANDEN BOSCH · (Male)

NPI Number 1457315095
Status Active
Credentials MD
Entity Individual
Enumeration date 04/12/2006
Last updated 11/18/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4301066019
  • MI Medicaid 4532331-10
  • MI Medicaid 4552933-10
  • Other 7944423 AETNA
  • Other 5211544 CIGNA
  • Other 19944 HEALTH PLAN OF MICHIGAN
  • Other 2011679 PHYSICIANS HEALTH PLAN
  • Other 7000027001 PRIORITY HEALTH
  • Other 7000027001 PRIORITY HEALTH MEDICAID
  • Other 050076520 RAILROAD MEDICARE
  • Other 0000197359804 UNITED HEALTH CARE
  • Other 175884 US DEPARTMENT OF LABOR
  • MI Other 550411009 BCBSM
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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