Laveroni, Eugene Walter

Laveroni, Eugene Walter is an individual health care provider with primary practice located at 28100 Grand River Ave Ste 200 , Farmington Hills MI 48336-5969. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Laveroni, Eugene Walter can be contacted via phone (947) 521-8829.

Contact Information

Primary practice address
28100 Grand River Ave Ste 200 Farmington Hills MI 48336-5969
Phone: (947) 521-8829
Fax: (248) 471-8352
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 5101009202 Michigan

Profile Details

NPI number 1285621474
LBN Legal business name Laveroni, Eugene Walter
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2005
Last updated Nov 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285621474 NPPES
Michigan Other 500564 DMC
Michigan MEDICAID 3020482 DMC
Michigan Other P69099 DMC

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