Vandall, Michael Thomas

Vandall, Michael Thomas is an sole proprietor health care provider with primary practice located at 1313 10Th St. Sw , Minot ND 58701. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Vandall, Michael Thomas can be contacted via phone (701) 852-2600.

Contact Information

Primary practice address
1313 10Th St. Sw Minot ND 58701
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 4642 North Dakota

Profile Details

NPI number 1720209414
LBN Legal business name Vandall, Michael Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2007
Last updated Jul 8th, 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 1720209414 NPPES
Minnesota MEDICAID 970388800
Minnesota MEDICAID 14246

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