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JACKSON VANDERLAAN
NPI 1235677733
Student in an Organized Health Care Education/Training Program in Holland, MI

Active since February 03, 2017
222 FAIRBANKS AVE, HOLLAND, MI 49423(616) 395-7000 Get Directions Write a Review

NPPES record last updated: February 3, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jackson Vanderlaan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKSON VANDERLAAN (NPI 1235677733) is an individual student in an organized health care education/training program in Holland, Michigan and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1235677733
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACKSON VANDERLAAN
Location Address222 FAIRBANKS AVEHolland, MI 49423-3735
Mailing Address222 Fairbanks AveHolland, MI 49423-3735
Phone(616) 395-7000
Sole ProprietorNo
Enumeration DateFebruary 3, 2017
✔ NPI 1235677733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
222 FAIRBANKS AVE, Holland, MI 49423
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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNE JAPINGA MS, AT, ATC
Specialist/Technologist (Athletic Trainer)
222 FAIRBANKS AVE
HOLLAND, MI 49423
Allegan County (616) 395-7707
ALESHIA WOLTHUIS
Student in an Organized Health Care Education/Training Program
222 FAIRBANKS AVE
HOLLAND, MI 49423
Allegan County (616) 395-7098
DR. KIRK ALAN BRUMELS PHD, ATC
Specialist/Technologist (Athletic Trainer)
222 FAIRBANKS AVE, DEVOS FIELDHOUSE
HOLLAND, MI 49423
Allegan County (616) 396-7356
ERIN KLOOSTERMAN
Student in an Organized Health Care Education/Training Program
222 FAIRBANKS AVE
HOLLAND, MI 49423
Allegan County (616) 395-7000
MRS. KATHARINE BANNING ROSE EDM, AT, ATC
Specialist/Technologist (Athletic Trainer)
222 FAIRBANKS AVE
HOLLAND, MI 49423
Allegan County (815) 757-7287
ELYSE SMALLEY
Student in an Organized Health Care Education/Training Program
222 FAIRBANKS AVE
HOLLAND, MI 49423
Allegan County (616) 395-7098
EMILY SCHIPPER
Student in an Organized Health Care Education/Training Program
222 FAIRBANKS AVE
HOLLAND, MI 49423
Allegan County (616) 395-7470
DR. R RICHARD RAY JR. EDD, ATC
Specialist/Technologist (Athletic Trainer)
222 FAIRBANKS AVE
HOLLAND, MI 49423
Allegan County (616) 395-7708

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackson Vanderlaan's NPI number?

The NPI number for Jackson Vanderlaan is 1235677733. It was assigned to this individual provider in the NPPES registry on February 3, 2017.

Where is Jackson Vanderlaan located?

Jackson Vanderlaan practices at 222 Fairbanks Ave, Holland, MI 49423. The listed phone number is (616) 395-7000.

What is Jackson Vanderlaan's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jackson Vanderlaan was last updated on February 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.