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:
Health care specialties
Specialty | Code | License # | 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 6 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 | 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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