Aaron Van Wagnen Md Pllc

LBN: Aaron Van Wagnen Md Pllc
Aaron Van Wagnen Md Pllc is an health care organization with primary practice located at 1310 Greenwood Ave , Jackson MI 49203-3077. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Aaron Van Wagnen Md Pllc can be contacted via phone (517) 787-1990, or through Van Wagnen, Aaron Michael via phone (517) 787-1990.

Contact Information

Primary practice address
1310 Greenwood Ave Jackson MI 49203-3077
Phone: (517) 787-1990
Fax: (517) 787-9183
Website:
Map and Directions
Authorized official contact:
Name: Van Wagnen, Aaron Michael Doctor of Medicine (MD)
Phone: (517) 787-1990

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 078023 Michigan

Profile Details

NPI number 1013145846
LBN Legal business name Aaron Van Wagnen Md Pllc
DBA Doing business as
Authorized official Van Wagnen, Aaron Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2009
Last updated Jul 1st, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013145846 NPPES
Michigan MEDICAID 4669435

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