Van Ark, Joseph Paul
Van Ark, Joseph Paul is an sole proprietor health care provider with primary practice located at 11615 Hartel Rd Ste 108, Grand Ledge MI 48837-9165. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Van Ark, Joseph Paul can be contacted via phone (517) 627-3281.Contact Information
Primary practice address
11615 Hartel Rd Ste 108
Grand Ledge MI 48837-9165
Phone: (517) 627-3281
Fax: (517) 627-8722
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301406591 | Michigan |
Profile Details
| NPI number | 1104821438 |
|---|---|
| LBN Legal business name | Van Ark, Joseph Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Jun 4th, 2012 - about 12 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 | 1104821438 | NPPES |
| Michigan | Other | 01-00164 | PHYSICIANS HEALTH PLAN |
| Michigan | Other | 5706661 | PHYSICIANS HEALTH PLAN |
| Michigan | Other | 080B37601 | PHYSICIANS HEALTH PLAN |
| Michigan | MEDICAID | 2683874 | PHYSICIANS HEALTH PLAN |
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