Van De Ven, Cosmas J M

Van De Ven, Cosmas J M is an individual health care provider with primary practice located at 1500 East Medical Center Dr 9Th Floor Vonvoigtlander Womens Hospital Recp B, Ann Arbor MI 48109-4276. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine. Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine is his primary health care specialty. Van De Ven, Cosmas J M can be contacted via phone (734) 763-6295.

Contact Information

Primary practice address
1500 East Medical Center Dr 9Th Floor Vonvoigtlander Womens Hospital Recp B Ann Arbor MI 48109-4276
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4301051796 Michigan
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 4301051796 Michigan

Profile Details

NPI number 1043307838
LBN Legal business name Van De Ven, Cosmas J M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jan 18th, 2013 - about 11 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 1043307838 NPPES
Michigan MEDICAID 2969559

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