Van Donselaar, Laurie Marie
Van Donselaar, Laurie Marie is an sole proprietor health care provider with primary practice located at 6911 E Us Highway 36 , Avon IN 46123-8926. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Van Donselaar, Laurie Marie can be contacted via phone (317) 272-8033.Contact Information
Primary practice address
6911 E Us Highway 36
Avon IN 46123-8926
Phone: (317) 272-8033
Fax: (317) 272-8044
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 02004178A | Indiana |
Profile Details
| NPI number | 1639312168 |
|---|---|
| LBN Legal business name | Van Donselaar, Laurie Marie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 14th, 2009 |
| Last updated | Mar 17th, 2021 - about 3 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 | 1639312168 | NPPES |
| Indiana | MEDICAID | 201096470 |
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