Van Ness, Michael M

Van Ness, Michael M is an individual health care provider with primary practice located at 2726 Fulton Dr Nw , Canton OH 44718-3506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Van Ness, Michael M can be contacted via phone (330) 455-5011.

Contact Information

Primary practice address
2726 Fulton Dr Nw Canton OH 44718-3506
Phone: (330) 455-5011
Fax: (330) 588-7127
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 35.056937 Ohio

Profile Details

NPI number 1972509065
LBN Legal business name Van Ness, Michael M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Jan 30th, 2020 - about 4 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 1972509065 NPPES
Ohio Other 1313725002 CIGNA #
Ohio Other 4292973 CIGNA #
Ohio Other 2900128 CIGNA #
Ohio Other 100005924 CIGNA #
Ohio Other 341773267 CIGNA #
Ohio MEDICAID 0705124 CIGNA #
Ohio Other 87852 CIGNA #
Ohio Other 000000138314 CIGNA #
Ohio Other 341773267A CIGNA #

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