Van Ort, Debra Mary
Van Ort, Debra Mary is an sole proprietor health care provider with primary practice located at 8391 Commerce Rd Ste 103 , Commerce Township MI 48382-4489. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Van Ort, Debra Mary can be contacted via phone (248) 690-6966.Contact Information
Primary practice address
8391 Commerce Rd Ste 103
Commerce Township MI 48382-4489
Phone: (248) 690-6966
Fax: (248) 535-0226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DV009592 | Michigan |
Profile Details
| NPI number | 1770634305 |
|---|---|
| LBN Legal business name | Van Ort, Debra Mary |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Sep 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770634305 | NPPES |
| Michigan | Other | MI12421 | MEDICARE |
| Michigan | Other | 0156308105 | MEDICARE |
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