Vanderlick, Michael Henry
Vanderlick, Michael Henry is an individual health care provider with primary practice located at 4801 Ambassador Caffery Pkwy , Lafayette LA 70508. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Vanderlick, Michael Henry can be contacted via phone (337) 470-2605.Contact Information
Primary practice address
4801 Ambassador Caffery Pkwy
Lafayette LA 70508
Phone: (337) 470-2605
Fax: (337) 470-4595
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 14489R | Louisiana |
Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | MD.14489R | Louisiana |
Profile Details
NPI number | 1598791691 |
---|---|
LBN Legal business name | Vanderlick, Michael Henry |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 23rd, 2006 |
Last updated | May 17th, 2021 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598791691 | NPPES |
Louisiana | MEDICAID | 1120561 |
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