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
Phone: (586) 323-1600
Fax: (586) 323-1644
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679592489 | NPPES |
| Michigan | Other | 9755011140 | BLUE CROSS BLUE SHIELD ID |
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