Van Ameyde, Larry

Van Ameyde, Larry is an sole proprietor health care provider with primary practice located at 51745 Van Dyke Ave , Shelby Township MI 48316-4451. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Van Ameyde, Larry can be contacted via phone (586) 323-1600.

Contact Information

Primary practice address
51745 Van Dyke Ave Shelby Township MI 48316-4451
Fax: (586) 323-1644
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 10374 Michigan

Profile Details

NPI number 1679592489
LBN Legal business name Van Ameyde, Larry
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Sep 6th, 2007 - 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 1679592489 NPPES
Michigan Other 9755011140 BLUE CROSS BLUE SHIELD ID

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