Vanek, David Vance
Vanek, David Vance is an sole proprietor health care provider with primary practice located at 9395 W Pocatello Creek Rd , Pocatello ID 83201-9049. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Vanek, David Vance can be contacted via phone (208) 232-1162.Contact Information
Primary practice address
9395 W Pocatello Creek Rd
Pocatello ID 83201-9049
Phone: (208) 232-1162
Fax: (208) 241-7575
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | M4597 | Idaho |
Profile Details
| NPI number | 1689669772 |
|---|---|
| LBN Legal business name | Vanek, David Vance |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Jul 8th, 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 | 1689669772 | NPPES |
| Idaho | Other | 000010005817 | REGENCE BLUE SHIELD OF ID |
| Idaho | Other | 45971 | REGENCE BLUE SHIELD OF ID |
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