Vaneenenaam, D. Peter

Vaneenenaam, D. Peter is an individual health care provider with primary practice located at 1571 Washington St Suite 201, Watertown NY 13601-9304. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Vaneenenaam, D. Peter can be contacted via phone (315) 782-1650.

Contact Information

Primary practice address
1571 Washington St Suite 201 Watertown NY 13601-9304
Fax: (315) 788-8547
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 202886 New York

Profile Details

NPI number 1316920481
LBN Legal business name Vaneenenaam, D. Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Mar 3rd, 2016 - about 8 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 1316920481 NPPES
New York MEDICAID 01670117

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