Vance, Michael S

Vance, Michael S is an individual health care provider with primary practice located at 601 Childrens Ln , Norfolk VA 23507-1910. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Cardiology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Cardiology is his primary health care specialty. Vance, Michael S can be contacted via phone (757) 668-7213.

Contact Information

Primary practice address
601 Childrens Ln Norfolk VA 23507-1910
Fax: (757) 668-8225
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 0101057423 Virginia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101057423 Virginia

Profile Details

NPI number 1932141058
LBN Legal business name Vance, Michael S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Feb 10th, 2010 - about 14 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 1932141058 NPPES
Pennsylvania MEDICAID 0013956310001
Pennsylvania MEDICAID 8906126
Pennsylvania MEDICAID 217402200
Pennsylvania MEDICAID 000929701
Pennsylvania MEDICAID 006724191

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