Elem-Vaughn, Durene M

Elem-Vaughn, Durene M is an individual health care provider with primary practice located at 1111 Fort St , Lincoln Park MI 48146-1802. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine, which is considered as her primary health care specialty. Elem-Vaughn, Durene M can be contacted via phone (313) 386-0000.

Contact Information

Primary practice address
1111 Fort St Lincoln Park MI 48146-1802
Phone: (313) 386-0000
Fax: (313) 386-1597
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Primary Podiatric Medicine 213EP1101X 5901001503 Michigan

Profile Details

NPI number 1417904376
LBN Legal business name Elem-Vaughn, Durene M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Sep 19th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417904376 NPPES
Michigan Other 4858252150 BLUE CROSS BLUE SHIELD
Michigan MEDICAID 2710766 BLUE CROSS BLUE SHIELD

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