Vanausdal, Paul F

Vanausdal, Paul F is an individual health care provider with primary practice located at 1425 Xenia Ave , Yellow Springs OH 45387-1121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Vanausdal, Paul F can be contacted via phone (937) 767-7291.

Contact Information

Primary practice address
1425 Xenia Ave Yellow Springs OH 45387-1121
Phone: (937) 767-7291
Fax: (937) 767-1302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35036419 Ohio

Profile Details

NPI number 1467452243
LBN Legal business name Vanausdal, Paul F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2005
Last updated Sep 10th, 2007 - about 17 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 1467452243 NPPES
Ohio Other 000000025526 ANTHEM
Ohio MEDICAID 0400337 ANTHEM

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