Vaclav, Joyce K

Vaclav, Joyce K is an sole proprietor health care provider with primary practice located at 25803 Dreschfield Ave , Grosse Ile MI 48138-1602. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is her primary health care specialty. Vaclav, Joyce K can be contacted via phone (734) 692-6693.

Contact Information

Primary practice address
25803 Dreschfield Ave Grosse Ile MI 48138-1602
Phone: (734) 692-6693
Fax: (734) 692-6693
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 5101009390 Michigan
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 5101009390 Michigan

Profile Details

NPI number 1588664874
LBN Legal business name Vaclav, Joyce K
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Sep 30th, 2019 - about 5 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 1588664874 NPPES
Michigan Other 1158211544 BCBS
Michigan MEDICAID 1588664874 BCBS
Michigan MEDICAID 4634734 BCBS
Michigan Other P00010001 BCBS
Michigan Other P00040001 BCBS
Michigan Other 00421 BCBS

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