Vandorn, Dana
Vandorn, Dana is an individual health care provider with primary practice located at 2233 State Route 86 , Saranac Lake NY 12983-5644. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Vandorn, Dana can be contacted via phone (518) 897-2317.Contact Information
Primary practice address
2233 State Route 86
Saranac Lake NY 12983-5644
Phone: (518) 897-2317
Fax: (518) 897-2423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 005887 | New York |
Profile Details
| NPI number | 1801098538 |
|---|---|
| LBN Legal business name | Vandorn, Dana |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 4th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801098538 | NPPES |
| New York | MEDICAID | 00363213 | |
| New York | Other | 005887 |
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