Vaneenenaam, David O
Vaneenenaam, David O 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, David O can be contacted via phone (315) 782-1650.Contact Information
Primary practice address
1571 Washington St Suite 201
Watertown NY 13601-9304
Phone: (315) 782-1650
Fax: (315) 788-8547
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 101008 | New York |
Profile Details
| NPI number | 1205818812 |
|---|---|
| LBN Legal business name | Vaneenenaam, David O |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Oct 11th, 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 | 1205818812 | NPPES |
| New York | MEDICAID | 00574929 |
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