Vandrak, Allison

Vandrak, Allison is an sole proprietor health care provider with primary practice located at 34950 Chardon Rd Ste 210 , Willoughby Hills OH 44094-9162. She recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Vandrak, Allison can be contacted via phone (440) 305-5890.

Contact Information

Primary practice address
34950 Chardon Rd Ste 210 Willoughby Hills OH 44094-9162
Fax: (440) 205-1009
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X E.2303441 Ohio

Profile Details

NPI number 1881177004
LBN Legal business name Vandrak, Allison
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2018
Last updated Jan 23rd, 2024 - about last year

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 1881177004 NPPES
Ohio MEDICAID 2864093

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