Dalla Vecchia, Laura Kathleen
Dalla Vecchia, Laura Kathleen is an individual health care provider with primary practice located at 43331 Commons Dr , Clinton Township MI 48038-1109. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Dalla Vecchia, Laura Kathleen can be contacted via phone (586) 263-5410.Contact Information
Primary practice address
43331 Commons Dr
Clinton Township MI 48038-1109
Phone: (586) 263-5410
Fax: (586) 263-7131
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4301075676 | Michigan |
Profile Details
| NPI number | 1083775407 |
|---|---|
| LBN Legal business name | Dalla Vecchia, Laura Kathleen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Dec 18th, 2020 - about 4 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 | 1083775407 | NPPES |
| Michigan | Other | 1316031339 | GROUP NPI |
| Michigan | MEDICAID | 4856287 | GROUP NPI |
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