Vanaalst, John Ananda

Vanaalst, John Ananda is an individual health care provider with primary practice located at 10200 Forest Green Blvd Ste 112 , Louisville KY 40223-5167. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Vanaalst, John Ananda can be contacted via phone (954) 399-4673.

Contact Information

Primary practice address
10200 Forest Green Blvd Ste 112 Louisville KY 40223-5167
Phone: (954) 399-4673
Fax: (513) 636-7182
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 35.069810 Ohio
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 50102 Kentucky

Profile Details

NPI number 1417043852
LBN Legal business name Vanaalst, John Ananda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Oct 25th, 2023 - about 2 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 1417043852 NPPES
Ohio MEDICAID 0111752
Ohio MEDICAID 7100358000

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