Corondan, Victor
Corondan, Victor is an individual health care provider with primary practice located at 14050 E 14 Mile Rd , Warren MI 48088-5765. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Corondan, Victor can be contacted via phone (586) 920-2249.Contact Information
Primary practice address
14050 E 14 Mile Rd
Warren MI 48088-5765
Phone: (586) 920-2249
Fax: (586) 920-2281
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 059864 | Michigan |
Profile Details
NPI number | 1376594887 |
---|---|
LBN Legal business name | Corondan, Victor |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 12th, 2006 |
Last updated | Apr 16th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1376594887 | NPPES |
Michigan | MEDICAID | 321078 |
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