Vanauken, Charles

Vanauken, Charles is an individual health care provider with primary practice located at 11000 W Mcnichols Rd , Detroit MI 48221-2357. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, which is considered as his primary health care specialty. Vanauken, Charles can be contacted via phone (313) 340-4442.

Contact Information

Primary practice address
11000 W Mcnichols Rd Detroit MI 48221-2357
Phone: (313) 340-4442
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X

Profile Details

NPI number 1093114266
LBN Legal business name Vanauken, Charles
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2014
Last updated Aug 14th, 2014 - about 10 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 1093114266 NPPES
Michigan MEDICAID 320121988

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